| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $33.95 | $33.95 | $33.95 | |
Cigna
| Professional | $21.69 | $33.95 | $42.43 | |
Medica
| Facility | $21.07 | $74.14 | $90.00 | |
Midlands
| Professional | $20.49 | $30.00 | $38.83 | |
Sanford Health Plan
| Professional | $30.50 | $35.59 | $35.59 |