| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,467.37 | $3,467.37 | $4,265.80 | |
Medica
| Professional | $8,128.31 | $8,128.31 | $8,128.31 | |
Midlands
| Professional | $3,235.94 | $3,235.94 | $3,235.94 | |
Midlands
| Professional | $3,235.94 | $3,235.94 | $3,235.94 | |
Sanford Health Plan
| Professional | $1,778.28 | $2,398.83 | $2,884.03 |