| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $851.14 | $1,047.13 | $1,318.26 | |
Medica
| Professional | $4,265.80 | $4,265.80 | $4,265.80 | |
Midlands
| Professional | $977.24 | $977.24 | $977.24 | |
Midlands
| Professional | $977.24 | $977.24 | $977.24 | |
Sanford Health Plan
| Professional | $588.84 | $588.84 | $812.83 |