| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $830.40 | $1,015.39 | $1,269.24 | |
Medica
| Facility | $456.96 | $456.96 | $765.05 | |
Midlands
| Professional | $465.03 | $580.00 | $865.93 | |
Sanford Health Plan
| Professional | $393.98 | $761.80 | $774.54 |