| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $837.30 | $1,034.64 | $1,293.31 | |
Medica
| Professional | $2,058.35 | $2,058.35 | $2,058.35 | |
Midlands
| Facility | $689.47 | $689.47 | $743.00 | |
Midlands
| Professional | $522.15 | $680.00 | $894.81 | |
Sanford Health Plan
| Professional | $397.68 | $769.93 | $782.80 |