| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $102.98 | $102.98 | $128.72 | |
Medica
| Facility | $115.23 | $115.23 | $115.23 | |
Midlands
| Facility | $79.89 | $79.89 | $115.23 | |
Midlands
| Professional | $54.25 | $79.89 | $206.48 | |
Sanford Health Plan
| Professional | $106.97 | $110.58 | $110.58 |