| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,043.95 | $1,222.72 | $1,506.59 | |
Medica
| Professional | $3,641.06 | $3,641.06 | $3,641.06 | |
Midlands
| Facility | $961.45 | $961.45 | $961.45 | |
Midlands
| Professional | $207.00 | $961.45 | $1,520.57 | |
Sanford Health Plan
| Professional | $185.45 | $948.22 | $1,303.68 |