| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $4.13 | $4.17 | $5.16 | |
Medica
| Professional | $491.22 | $491.22 | $491.22 | |
Midlands
| Facility | $16.00 | $16.00 | $16.00 | |
Midlands
| Professional | $5.94 | $6.44 | $9.00 | |
Sanford Health Plan
| Professional | $4.18 | $4.18 | $17.13 |