| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $43.74 | $43.74 | $43.74 | |
Cigna
| Professional | $27.95 | $43.74 | $54.67 | |
Medica
| Facility | $27.38 | $79.20 | $100.00 | |
Midlands
| Professional | $26.65 | $39.00 | $50.48 | |
Sanford Health Plan
| Professional | $36.54 | $36.54 | $39.68 |