| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $446.52 | $446.52 | $446.52 | |
Cigna
| Professional | $353.12 | $446.52 | $558.14 | |
Medica
| Professional | $864.22 | $864.22 | $864.22 | |
Midlands
| Professional | $479.22 | $479.22 | $479.22 | |
Sanford Health Plan
| Professional | $370.38 | $370.38 | $370.38 |