| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $528.88 | $581.99 | $727.48 | |
Medica
| Facility | $356.79 | $408.23 | $540.10 | |
Medica
| Professional | $3,635.00 | $3,635.00 | $3,635.00 | |
Midlands
| Professional | $422.00 | $463.00 | $538.02 | |
Sanford Health Plan
| Professional | $233.14 | $453.14 | $460.71 |