| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $633.74 | $774.92 | $968.66 | |
Medica
| Professional | $1,195.82 | $1,195.82 | $1,195.82 | |
Midlands
| Facility | $225.00 | $261.76 | $261.76 | |
Midlands
| Professional | $147.00 | $237.11 | $261.76 | |
Sanford Health Plan
| Professional | $339.36 | $554.69 | $578.10 |