| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $752.60 | $828.18 | $1,035.23 | |
Medica
| Facility | $652.04 | $772.80 | $1,058.91 | |
Medica
| Professional | $4,127.76 | $4,127.76 | $4,127.76 | |
Midlands
| Professional | $725.00 | $738.00 | $789.78 | |
Sanford Health Plan
| Professional | $490.40 | $695.08 | $784.09 |