| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $17.63 | $17.63 | $17.63 | |
Cigna
| Professional | $11.26 | $17.63 | $22.03 | |
Medica
| Facility | $10.96 | $44.48 | $90.00 | |
Midlands
| Professional | $10.73 | $16.00 | $20.32 | |
Sanford Health Plan
| Professional | $14.95 | $14.95 | $15.97 |