| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $979.16 | $1,077.50 | $1,346.87 | |
Medica
| Professional | $3,807.00 | $3,807.00 | $3,807.00 | |
Midlands
| Facility | $774.13 | $912.00 | $912.00 | |
Midlands
| Professional | $774.13 | $898.00 | $1,037.60 | |
Sanford Health Plan
| Professional | $621.58 | $862.00 | $888.98 |