| 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 | $40.03 | $103.40 | $123.84 | |
Midlands
| Professional | $8.78 | $51.41 | $57.00 | |
Sanford Health Plan
| Professional | $13.09 | $35.60 | $35.60 |