| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,951.21 | $2,951.21 | $3,715.35 | |
Medica
| Professional | $9,120.11 | $9,120.11 | $9,120.11 | |
Midlands
| Professional | $2,691.53 | $2,691.53 | $2,691.53 | |
Midlands
| Professional | $2,691.53 | $2,691.53 | $2,691.53 | |
Sanford Health Plan
| Professional | $1,621.81 | $1,949.84 | $2,290.87 |