| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $66.07 | $66.07 | $66.07 | |
Cigna
| Professional | $39.81 | $66.07 | $83.18 | |
Medica
| Facility | $38.90 | $85.11 | $120.23 | |
Sanford Health Plan
| Professional | $41.69 | $69.18 | $69.18 |