| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $142.44 | $176.29 | $217.22 | |
Medica
| Professional | $95.38 | $541.32 | $541.32 | |
Midlands
| Facility | $105.00 | $114.75 | $162.12 | |
Midlands
| Professional | $74.00 | $114.75 | $162.12 | |
Sanford Health Plan
| Professional | $47.44 | $103.79 | $135.09 |