| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $752.60 | $828.18 | $1,035.23 | |
Medica
| Professional | $4,230.00 | $4,230.00 | $4,230.00 | |
Midlands
| Facility | $591.32 | $675.00 | $675.00 | |
Midlands
| Professional | $591.32 | $666.00 | $785.67 | |
Sanford Health Plan
| Professional | $458.41 | $656.66 | $677.21 |