| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $499.91 | $585.52 | $721.45 | |
Medica
| Professional | $1,522.86 | $1,522.86 | $1,522.86 | |
Midlands
| Facility | $487.20 | $487.20 | $487.20 | |
Midlands
| Professional | $369.00 | $487.20 | $659.73 | |
Sanford Health Plan
| Professional | $317.64 | $406.12 | $546.25 |