| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $783.71 | $968.42 | $1,210.53 | |
Medica
| Professional | $4,000.00 | $4,000.00 | $4,000.00 | |
Midlands
| Facility | $663.03 | $663.03 | $921.22 | |
Midlands
| Professional | $627.00 | $696.00 | $921.22 | |
Sanford Health Plan
| Professional | $495.43 | $696.11 | $756.25 |