| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $30.68 | $30.68 | $30.68 | |
Cigna
| Professional | $19.61 | $30.68 | $38.35 | |
Medica
| Facility | $18.96 | $68.20 | $100.00 | |
Midlands
| Professional | $14.41 | $18.73 | $27.00 | |
Sanford Health Plan
| Professional | $20.64 | $20.64 | $27.89 |