| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $16.97 | $16.97 | $16.97 | |
Cigna
| Professional | $10.85 | $16.97 | $21.22 | |
Medica
| Facility | $10.53 | $22.00 | $100.00 | |
Midlands
| Professional | $10.38 | $11.78 | $15.00 | |
Sanford Health Plan
| Professional | $14.95 | $14.95 | $15.47 |