| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $45.04 | $45.04 | $45.04 | |
Cigna
| Professional | $28.78 | $45.04 | $56.30 | |
Medica
| Facility | $27.81 | $74.14 | $176.95 | |
Midlands
| Professional | $27.30 | $40.00 | $51.72 | |
Sanford Health Plan
| Professional | $39.33 | $48.16 | $49.16 |