| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $37.86 | $37.86 | $37.86 | |
Cigna
| Professional | $24.19 | $37.86 | $47.33 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Midlands
| Professional | $22.90 | $33.00 | $43.41 | |
Sanford Health Plan
| Professional | $33.69 | $33.69 | $34.11 |