| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $32.64 | $32.64 | $32.64 | |
Cigna
| Professional | $20.86 | $32.64 | $40.79 | |
Medica
| Facility | $20.64 | $74.14 | $90.00 | |
Midlands
| Professional | $20.02 | $29.00 | $37.95 | |
Sanford Health Plan
| Professional | $29.82 | $32.27 | $32.27 |