| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $32.36 | $32.36 | $32.36 | |
Cigna
| Professional | $19.50 | $32.36 | $40.74 | |
Medica
| Facility | $19.05 | $67.61 | $100.00 | |
Sanford Health Plan
| Professional | $20.42 | $20.42 | $28.18 |