| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $972.08 | $1,069.70 | $1,337.13 | |
Medica
| Professional | $3,130.64 | $3,130.64 | $3,130.64 | |
Midlands
| Facility | $770.08 | $904.00 | $904.00 | |
Midlands
| Professional | $757.00 | $818.00 | $1,013.06 | |
Sanford Health Plan
| Professional | $587.05 | $843.13 | $869.51 |