| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,165.90 | $1,165.90 | $1,165.90 | |
Cigna
| Professional | $671.95 | $1,062.10 | $1,327.63 | |
Medica
| Facility | $2,339.60 | $2,339.60 | $2,339.60 | |
Medica
| Professional | $1,191.64 | $1,191.64 | $2,924.50 | |
Midlands
| Facility | $754.78 | $1,191.64 | $1,594.63 | |
Midlands
| Professional | $701.88 | $1,191.64 | $1,579.59 | |
Sanford Health Plan
| Professional | $836.41 | $1,409.20 | $1,606.84 |