| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $90.08 | $110.15 | $137.69 | |
Medica
| Facility | $117.05 | $117.05 | $342.40 | |
Midlands
| Professional | $55.29 | $102.94 | $144.00 | |
Sanford Health Plan
| Professional | $71.98 | $93.60 | $102.75 |