| 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 | $59.31 | $90.00 | |
Midlands
| Professional | $27.30 | $40.00 | $51.72 | |
Sanford Health Plan
| Professional | $37.44 | $40.65 | $49.16 |