| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $836.67 | $1,033.86 | $1,292.33 | |
Medica
| Professional | $4,287.91 | $4,287.91 | $4,287.91 | |
Midlands
| Facility | $707.63 | $707.63 | $986.23 | |
Midlands
| Professional | $707.63 | $797.00 | $986.23 | |
Sanford Health Plan
| Professional | $585.47 | $743.85 | $808.16 |