| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $63.97 | $63.97 | $63.97 | |
Cigna
| Professional | $40.88 | $63.97 | $79.97 | |
Medica
| Facility | $39.60 | $110.00 | $122.67 | |
Midlands
| Professional | $38.86 | $51.41 | $57.00 | |
Sanford Health Plan
| Professional | $35.60 | $35.60 | $57.87 |