| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $45.70 | $45.70 | $45.70 | |
Cigna
| Professional | $29.20 | $45.70 | $57.12 | |
Medica
| Facility | $28.24 | $88.00 | $100.00 | |
Midlands
| Professional | $27.71 | $41.00 | $52.50 | |
Sanford Health Plan
| Professional | $34.63 | $34.63 | $41.25 |