| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $34.60 | $34.60 | $34.60 | |
Cigna
| Professional | $22.11 | $34.60 | $43.25 | |
Medica
| Facility | $21.50 | $74.14 | $100.00 | |
Midlands
| Professional | $20.93 | $31.00 | $39.67 | |
Sanford Health Plan
| Professional | $30.14 | $30.14 | $31.17 |