| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $204.17 | $275.42 | $338.84 | |
Medica
| Facility | $288.40 | $288.40 | $363.08 | |
Medica
| Professional | $66.07 | $257.04 | $707.95 | |
Midlands
| Professional | $169.82 | $169.82 | $169.82 | |
Sanford Health Plan
| Professional | $204.17 | $331.13 | $389.05 |