| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $728.53 | $801.69 | $1,002.12 | |
Medica
| Professional | $3,597.38 | $3,597.38 | $3,597.38 | |
Midlands
| Facility | $681.00 | $681.00 | $681.00 | |
Midlands
| Professional | $624.00 | $726.00 | $760.05 | |
Sanford Health Plan
| Professional | $382.77 | $633.29 | $633.29 |