| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $641.45 | $882.33 | $1,509.51 | |
Medica
| Professional | $1,906.00 | $2,776.00 | $2,776.00 | |
Midlands
| Facility | $946.00 | $946.00 | $946.00 | |
Midlands
| Professional | $654.86 | $987.00 | $1,118.30 | |
Sanford Health Plan
| Professional | $524.32 | $524.32 | $681.00 |