| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $49.55 | $63.44 | $97.71 | |
Medica
| Facility | $43.88 | $78.78 | $100.00 | |
Medica
| Professional | $301.00 | $301.00 | $371.24 | |
Midlands
| Professional | $63.04 | $88.99 | $127.39 | |
Sanford Health Plan
| Professional | $48.91 | $66.14 | $67.64 |