| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $488.64 | $603.79 | $754.75 | |
Medica
| Professional | $3,619.00 | $3,619.00 | $3,619.00 | |
Midlands
| Facility | $488.00 | $488.00 | $488.00 | |
Midlands
| Professional | $446.00 | $502.00 | $575.88 | |
Sanford Health Plan
| Professional | $338.66 | $496.65 | $536.64 |