| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $369.89 | $462.36 | $608.91 | |
Medica
| Professional | $1,322.00 | $1,322.00 | $1,322.00 | |
Midlands
| Facility | $369.03 | $369.03 | $369.03 | |
Midlands
| Professional | $240.00 | $369.03 | $501.64 | |
Sanford Health Plan
| Professional | $253.20 | $304.91 | $415.88 |