| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $898.91 | $898.91 | $898.91 | |
Cigna
| Professional | $647.89 | $819.26 | $1,024.08 | |
Medica
| Professional | $982.61 | $982.61 | $2,254.55 | |
Midlands
| Facility | $581.86 | $824.60 | $988.21 | |
Midlands
| Professional | $541.09 | $824.60 | $988.21 | |
Sanford Health Plan
| Professional | $644.79 | $1,086.38 | $1,238.74 |