| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $482.13 | $589.53 | $736.92 | |
Medica
| Facility | $415.31 | $415.31 | $591.28 | |
Midlands
| Professional | $296.80 | $534.00 | $540.08 | |
Sanford Health Plan
| Professional | $293.64 | $346.95 | $416.96 |