| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $687.38 | $694.25 | $859.22 | |
Medica
| Professional | $6,036.30 | $6,036.30 | $6,036.30 | |
Midlands
| Facility | $809.00 | $809.00 | $809.00 | |
Midlands
| Professional | $672.59 | $734.63 | $883.05 | |
Sanford Health Plan
| Professional | $682.46 | $682.46 | $682.46 |