| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $736.42 | $909.99 | $1,137.49 | |
Medica
| Professional | $3,068.00 | $3,068.00 | $3,068.00 | |
Midlands
| Facility | $621.14 | $621.14 | $864.22 | |
Midlands
| Professional | $564.00 | $621.14 | $864.22 | |
Sanford Health Plan
| Professional | $461.62 | $652.50 | $705.52 |