| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $144.75 | $146.19 | $180.94 | |
Medica
| Professional | $629.84 | $629.84 | $629.84 | |
Midlands
| Facility | $160.00 | $193.02 | $193.02 | |
Midlands
| Professional | $144.59 | $183.27 | $193.02 | |
Sanford Health Plan
| Professional | $155.37 | $155.37 | $249.74 |