| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $757.42 | $887.12 | $1,093.08 | |
Medica
| Professional | $2,243.75 | $2,243.75 | $2,243.75 | |
Midlands
| Facility | $623.66 | $623.66 | $623.66 | |
Midlands
| Professional | $585.00 | $672.00 | $860.65 | |
Sanford Health Plan
| Professional | $462.79 | $543.17 | $696.08 |