| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $41.78 | $41.78 | $41.78 | |
Cigna
| Professional | $26.70 | $41.78 | $52.22 | |
Medica
| Facility | $26.12 | $96.80 | $160.00 | |
Midlands
| Professional | $8.78 | $37.00 | $48.09 | |
Sanford Health Plan
| Professional | $13.09 | $27.75 | $27.75 |