| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $870.96 | $870.96 | $870.96 | |
Cigna
| Professional | $645.65 | $870.96 | $1,071.52 | |
Medica
| Professional | $977.24 | $2,238.72 | $2,238.72 | |
Midlands
| Professional | $537.03 | $977.24 | $977.24 | |
Sanford Health Plan
| Professional | $645.65 | $1,047.13 | $1,230.27 |