| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $39.82 | $39.82 | $39.82 | |
Cigna
| Professional | $25.44 | $39.82 | $49.78 | |
Medica
| Facility | $24.86 | $77.00 | $100.00 | |
Midlands
| Professional | $8.78 | $35.00 | $45.59 | |
Sanford Health Plan
| Professional | $12.66 | $15.82 | $43.46 |