| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $40.47 | $40.47 | $40.47 | |
Cigna
| Professional | $25.86 | $40.47 | $50.59 | |
Medica
| Facility | $25.28 | $59.31 | $90.00 | |
Midlands
| Professional | $24.63 | $36.00 | $37.57 | |
Sanford Health Plan
| Professional | $36.31 | $36.31 | $36.69 |