| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $431.88 | $475.25 | $594.05 | |
Medica
| Professional | $3,329.10 | $3,329.10 | $3,329.10 | |
Midlands
| Facility | $337.82 | $584.00 | $584.00 | |
Midlands
| Professional | $337.82 | $535.00 | $574.00 | |
Sanford Health Plan
| Professional | $296.05 | $400.34 | $511.16 |