| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $713.66 | $2,522.75 | $4,337.64 | |
Medica
| Professional | $3,927.00 | $10,567.34 | $10,567.34 | |
Midlands
| Facility | $4,312.00 | $4,312.00 | $4,312.00 | |
Midlands
| Professional | $1,782.10 | $2,679.00 | $3,946.00 | |
Sanford Health Plan
| Professional | $894.94 | $2,576.67 | $2,686.96 |