| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $28.72 | $28.72 | $28.72 | |
Cigna
| Professional | $18.35 | $28.72 | $35.90 | |
Medica
| Facility | $17.70 | $88.00 | $211.44 | |
Midlands
| Professional | $17.30 | $25.00 | $32.79 | |
Sanford Health Plan
| Professional | $25.79 | $27.75 | $27.75 |