| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,998.25 | $3,511.68 | $4,326.97 | |
Medica
| Professional | $6,016.53 | $6,016.53 | $6,016.53 | |
Midlands
| Facility | $1,166.46 | $1,166.46 | $1,166.46 | |
Midlands
| Professional | $1,166.46 | $1,321.29 | $1,605.32 | |
Sanford Health Plan
| Professional | $659.60 | $659.60 | $659.60 |