| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $817.50 | $825.68 | $1,021.88 | |
Medica
| Facility | $1,065.60 | $1,065.60 | $1,065.60 | |
Midlands
| Facility | $1,029.52 | $1,029.52 | $1,029.52 | |
Midlands
| Professional | $1,029.52 | $1,029.52 | $1,029.52 | |
Sanford Health Plan
| Professional | $689.08 | $723.53 | $723.53 |