| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $39.17 | $39.17 | $39.17 | |
Cigna
| Professional | $25.03 | $39.17 | $48.96 | |
Medica
| Facility | $24.44 | $66.00 | $100.00 | |
Midlands
| Professional | $23.96 | $35.00 | $45.40 | |
Sanford Health Plan
| Professional | $23.26 | $23.26 | $35.65 |