| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,155.80 | $1,225.52 | $1,531.91 | |
Medica
| Professional | $4,012.68 | $4,012.68 | $4,012.68 | |
Midlands
| Facility | $856.58 | $856.58 | $878.00 | |
Midlands
| Professional | $804.00 | $1,088.84 | $1,114.99 | |
Sanford Health Plan
| Professional | $626.66 | $956.17 | $972.16 |