| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $998.71 | $1,234.08 | $1,542.62 | |
Medica
| Professional | $4,124.46 | $4,124.46 | $4,124.46 | |
Midlands
| Facility | $852.59 | $852.59 | $1,190.04 | |
Midlands
| Professional | $822.00 | $909.00 | $1,190.04 | |
Sanford Health Plan
| Professional | $641.69 | $896.30 | $974.51 |