| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $45.70 | $45.70 | $45.70 | |
Cigna
| Professional | $29.20 | $45.70 | $57.12 | |
Medica
| Facility | $28.65 | $77.00 | $174.12 | |
Midlands
| Professional | $8.78 | $41.00 | $52.98 | |
Sanford Health Plan
| Professional | $12.66 | $15.82 | $50.34 |