| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $435.42 | $479.15 | $598.92 | |
Medica
| Facility | $333.15 | $374.87 | $469.65 | |
Medica
| Professional | $3,126.00 | $3,126.00 | $3,126.00 | |
Midlands
| Professional | $408.00 | $428.00 | $460.70 | |
Sanford Health Plan
| Professional | $250.25 | $250.25 | $303.02 |