| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $336.85 | $411.90 | $514.87 | |
Medica
| Professional | $1,170.03 | $1,170.03 | $1,170.03 | |
Midlands
| Facility | $277.07 | $277.07 | $291.61 | |
Midlands
| Professional | $173.00 | $277.07 | $396.46 | |
Sanford Health Plan
| Professional | $208.87 | $283.72 | $346.15 |