| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $32.33 | $114.41 | $196.72 | |
Medica
| Facility | $37.82 | $99.05 | $182.32 | |
Medica
| Professional | $150.94 | $150.94 | $322.23 | |
Midlands
| Facility | $107.21 | $107.21 | $107.21 | |
Midlands
| Professional | $29.21 | $107.21 | $140.27 | |
Sanford Health Plan
| Professional | $86.14 | $116.62 | $118.57 |