| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $40.47 | $40.47 | $40.47 | |
Cigna
| Professional | $25.86 | $40.47 | $50.59 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Midlands
| Professional | $24.70 | $36.00 | $39.97 | |
Sanford Health Plan
| Professional | $34.64 | $34.64 | $36.77 |