| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $51.29 | $52.48 | $66.07 | |
Medica
| Facility | $43.65 | $66.07 | $234.42 | |
Medica
| Professional | $257.04 | $257.04 | $257.04 | |
Midlands
| Professional | $67.61 | $67.61 | $67.61 | |
Sanford Health Plan
| Professional | $40.74 | $40.74 | $40.74 |