| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $314.75 | $393.44 | $501.62 | |
Medica
| Professional | $1,204.00 | $1,204.00 | $1,386.51 | |
Midlands
| Facility | $307.95 | $307.95 | $307.95 | |
Midlands
| Professional | $242.00 | $307.95 | $418.37 | |
Sanford Health Plan
| Professional | $210.24 | $254.09 | $347.45 |