| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $169.82 | $323.59 | $407.38 | |
Medica
| Professional | $1,023.29 | $1,023.29 | $1,148.15 | |
Midlands
| Professional | $173.78 | $173.78 | $295.12 | |
Sanford Health Plan
| Professional | $109.65 | $186.21 | $229.09 |