| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $255.02 | $311.83 | $389.79 | |
Medica
| Professional | $684.55 | $684.55 | $684.55 | |
Midlands
| Facility | $260.00 | $273.73 | $273.73 | |
Midlands
| Professional | $202.00 | $273.06 | $279.56 | |
Sanford Health Plan
| Professional | $156.26 | $156.26 | $156.26 |