| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $849.28 | $1,049.45 | $1,311.81 | |
Medica
| Professional | $3,713.33 | $3,713.33 | $3,713.33 | |
Midlands
| Facility | $705.67 | $705.67 | $978.46 | |
Midlands
| Professional | $670.00 | $763.00 | $978.46 | |
Sanford Health Plan
| Professional | $531.08 | $756.32 | $821.14 |