| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $130.47 | $163.09 | $205.99 | |
Medica
| Professional | $398.58 | $398.58 | $2,940.00 | |
Midlands
| Facility | $148.15 | $148.15 | $199.00 | |
Midlands
| Professional | $117.95 | $148.15 | $198.35 | |
Sanford Health Plan
| Professional | $110.23 | $131.63 | $158.97 |