| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,015.13 | $1,072.53 | $1,268.91 | |
Medica
| Professional | $141.30 | $6,008.06 | $6,008.06 | |
Midlands
| Facility | $983.40 | $983.40 | $983.40 | |
Midlands
| Professional | $101.09 | $101.09 | $983.40 | |
Sanford Health Plan
| Professional | $1,053.83 | $1,149.90 | $1,387.11 |