| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,621.81 | $2,041.74 | $2,511.89 | |
Medica
| Professional | $5,754.40 | $5,754.40 | $5,754.40 | |
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 | $1,023.29 | $1,148.15 | $1,584.89 |