| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,659.59 | $2,089.30 | $2,570.40 | |
Medica
| Professional | $7,585.78 | $7,585.78 | $7,585.78 | |
Midlands
| Professional | $1,949.84 | $1,949.84 | $1,949.84 | |
Midlands
| Professional | $1,949.84 | $1,949.84 | $1,949.84 | |
Sanford Health Plan
| Professional | $1,096.48 | $1,230.27 | $1,659.59 |