| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,951.21 | $3,388.44 | $4,168.69 | |
Medica
| Professional | $11,220.18 | $11,220.18 | $11,220.18 | |
Midlands
| Professional | $2,630.27 | $2,630.27 | $2,630.27 | |
Midlands
| Professional | $2,630.27 | $2,630.27 | $3,019.95 | |
Sanford Health Plan
| Professional | $1,659.59 | $2,041.74 | $2,818.38 |