| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,511.89 | $2,511.89 | $3,162.28 | |
Medica
| Professional | $11,481.54 | $11,481.54 | $11,481.54 | |
Midlands
| Professional | $2,454.71 | $2,454.71 | $2,454.71 | |
Midlands
| Professional | $2,454.71 | $2,454.71 | $2,454.71 | |
Sanford Health Plan
| Professional | $1,288.25 | $1,862.09 | $2,187.76 |