| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $37.86 | $37.86 | $37.86 | |
Cigna
| Professional | $24.19 | $37.86 | $47.33 | |
Medica
| Facility | $127.00 | $127.00 | $127.00 | |
Midlands
| Professional | $22.91 | $34.00 | $43.43 | |
Sanford Health Plan
| Professional | $22.31 | $22.31 | $34.13 |