| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $67.61 | $67.61 | $67.61 | |
Cigna
| Professional | $40.74 | $67.61 | $85.11 | |
Medica
| Facility | $39.81 | $109.65 | $123.03 | |
Sanford Health Plan
| Professional | $35.48 | $35.48 | $57.54 |