| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $937.13 | $946.50 | $1,171.41 | |
Medica
| Professional | $2,996.65 | $2,996.65 | $2,996.65 | |
Midlands
| Facility | $810.00 | $1,263.58 | $1,263.58 | |
Midlands
| Professional | $822.78 | $1,061.21 | $1,263.58 | |
Sanford Health Plan
| Professional | $603.86 | $1,006.64 | $1,006.64 |