| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $18.14 | $39.54 | $56.06 | |
Medica
| Professional | $212.00 | $268.88 | $268.88 | |
Midlands
| Facility | $40.00 | $40.00 | $40.00 | |
Midlands
| Professional | $27.00 | $40.54 | $55.88 | |
Sanford Health Plan
| Professional | $28.79 | $36.57 | $44.10 |