| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $136.09 | $138.06 | $170.11 | |
Medica
| Professional | $627.00 | $627.00 | $627.00 | |
Midlands
| Facility | $35.06 | $90.00 | $90.00 | |
Midlands
| Professional | $47.16 | $85.00 | $89.89 | |
Sanford Health Plan
| Professional | $79.70 | $79.70 | $79.70 |