| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $231.52 | $271.16 | $334.12 | |
Medica
| Professional | $602.61 | $602.61 | $602.61 | |
Midlands
| Facility | $197.44 | $197.44 | $252.68 | |
Midlands
| Professional | $145.00 | $229.46 | $258.83 | |
Sanford Health Plan
| Professional | $126.60 | $170.00 | $224.75 |