| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $85.70 | $107.13 | $269.76 | |
Medica
| Professional | $187.53 | $474.21 | $474.21 | |
Midlands
| Facility | $133.13 | $133.13 | $152.00 | |
Midlands
| Professional | $82.55 | $144.00 | $178.26 | |
Sanford Health Plan
| Professional | $99.63 | $128.29 | $145.12 |