| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $175.02 | $215.65 | $269.56 | |
Medica
| Professional | $602.00 | $602.00 | $693.25 | |
Midlands
| Facility | $166.26 | $166.26 | $166.26 | |
Midlands
| Professional | $137.00 | $166.26 | $225.23 | |
Sanford Health Plan
| Professional | $107.81 | $136.52 | $186.41 |