| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $43.08 | $43.08 | $43.08 | |
Cigna
| Professional | $27.53 | $43.08 | $53.86 | |
Medica
| Facility | $26.54 | $81.55 | $90.00 | |
Midlands
| Professional | $26.03 | $38.00 | $45.05 | |
Sanford Health Plan
| Professional | $33.69 | $33.69 | $38.75 |