| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $29.25 | $29.54 | $36.56 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Midlands
| Professional | $34.74 | $41.26 | $65.79 | |
Sanford Health Plan
| Professional | $35.00 | $35.00 | $35.00 |