| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $927.48 | $1,020.62 | $1,275.78 | |
Medica
| Professional | $4,363.00 | $4,363.00 | $4,363.00 | |
Midlands
| Facility | $897.00 | $897.00 | $897.00 | |
Midlands
| Professional | $820.00 | $933.00 | $989.99 | |
Sanford Health Plan
| Professional | $618.84 | $840.71 | $1,181.03 |