| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $16.98 | $21.38 | $26.30 | |
Medica
| Facility | $23.99 | $36.31 | $100.00 | |
Medica
| Professional | $28.84 | $107.15 | $125.89 | |
Midlands
| Professional | $28.84 | $48.98 | $60.26 | |
Sanford Health Plan
| Professional | $29.51 | $30.90 | $44.67 |