| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $380.20 | $418.38 | $522.97 | |
Medica
| Professional | $1,438.25 | $1,438.25 | $1,438.25 | |
Midlands
| Facility | $296.74 | $435.00 | $435.00 | |
Midlands
| Professional | $296.74 | $412.76 | $426.00 | |
Sanford Health Plan
| Professional | $262.58 | $350.06 | $361.02 |