| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $815.62 | $897.52 | $1,121.90 | |
Medica
| Professional | $2,625.27 | $2,625.27 | $2,625.27 | |
Midlands
| Facility | $640.32 | $640.32 | $640.32 | |
Midlands
| Professional | $494.08 | $728.00 | $867.61 | |
Sanford Health Plan
| Professional | $449.38 | $652.49 | $728.53 |