| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,072.72 | $3,381.29 | $4,226.62 | |
Medica
| Professional | $19,602.00 | $19,602.00 | $19,602.00 | |
Midlands
| Facility | $2,430.46 | $2,732.00 | $2,732.00 | |
Midlands
| Professional | $2,430.46 | $3,115.00 | $3,235.08 | |
Sanford Health Plan
| Professional | $1,872.05 | $2,761.17 | $3,368.80 |