| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,691.53 | $3,019.95 | $3,801.89 | |
Medica
| Professional | $10,471.29 | $10,471.29 | $10,471.29 | |
Midlands
| Professional | $2,884.03 | $2,884.03 | $2,884.03 | |
Midlands
| Professional | $2,884.03 | $2,884.03 | $2,884.03 | |
Sanford Health Plan
| Professional | $1,621.81 | $1,819.70 | $2,630.27 |