| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $858.10 | $944.27 | $1,180.33 | |
Medica
| Professional | $3,807.00 | $3,807.00 | $3,807.00 | |
Midlands
| Facility | $691.12 | $832.00 | $832.00 | |
Midlands
| Professional | $691.12 | $822.00 | $914.63 | |
Sanford Health Plan
| Professional | $570.42 | $769.91 | $794.01 |