| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $13.13 | $13.26 | $16.41 | |
Medica
| Professional | $1,514.66 | $1,514.66 | $1,514.66 | |
Midlands
| Facility | $13.00 | $13.00 | $13.00 | |
Midlands
| Professional | $11.28 | $11.71 | $13.65 | |
Sanford Health Plan
| Professional | $13.82 | $13.82 | $13.82 |