| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $53.53 | $53.53 | $53.53 | |
Cigna
| Professional | $34.20 | $53.53 | $66.91 | |
Medica
| Facility | $33.29 | $103.40 | $150.00 | |
Midlands
| Professional | $32.47 | $48.00 | $49.83 | |
Sanford Health Plan
| Professional | $48.16 | $48.16 | $48.37 |