| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $367.39 | $389.55 | $486.94 | |
Medica
| Professional | $1,428.00 | $1,428.00 | $1,428.00 | |
Midlands
| Facility | $320.00 | $320.00 | $320.00 | |
Midlands
| Professional | $268.00 | $291.00 | $372.12 | |
Sanford Health Plan
| Professional | $232.63 | $301.12 | $306.16 |