| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $443.24 | $547.71 | $684.63 | |
Medica
| Professional | $3,301.00 | $3,301.00 | $3,301.00 | |
Midlands
| Facility | $452.00 | $452.00 | $452.00 | |
Midlands
| Professional | $413.00 | $465.00 | $524.29 | |
Sanford Health Plan
| Professional | $309.42 | $452.56 | $460.12 |