| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $416.77 | $529.36 | $715.80 | |
Medica
| Professional | $877.28 | $1,145.76 | $1,145.76 | |
Midlands
| Facility | $415.00 | $415.00 | $415.00 | |
Midlands
| Professional | $377.00 | $380.00 | $529.12 | |
Sanford Health Plan
| Professional | $177.08 | $177.08 | $298.00 |