| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $30.20 | $30.20 | $30.20 | |
Cigna
| Professional | $18.20 | $30.20 | $38.02 | |
Medica
| Facility | $17.78 | $87.10 | $213.80 | |
Sanford Health Plan
| Professional | $25.70 | $27.54 | $27.54 |