| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $51.57 | $51.57 | $51.57 | |
Cigna
| Professional | $32.95 | $51.57 | $64.45 | |
Medica
| Facility | $32.02 | $100.00 | $103.40 | |
Midlands
| Professional | $8.78 | $31.71 | $46.00 | |
Sanford Health Plan
| Professional | $13.09 | $30.14 | $30.14 |