| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,394.00 | $2,394.00 | $2,394.00 | |
Cigna
| Professional | $2,394.00 | $2,394.00 | $2,992.50 | |
Midlands
| Facility | $3,231.90 | $3,590.94 | $4,497.34 | |
Midlands
| Professional | $2,754.08 | $3,590.94 | $4,497.34 | |
Sanford Health Plan
| Professional | $2,142.00 | $2,142.00 | $2,142.00 |