| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $67.61 | $83.18 | $83.18 | |
Medica
| Facility | $52.48 | $87.10 | $295.12 | |
Medica
| Professional | $91.20 | $812.83 | $812.83 | |
Midlands
| Professional | $91.20 | $91.20 | $91.20 | |
Sanford Health Plan
| Professional | $69.18 | $93.33 | $141.25 |