| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $36.56 | $36.56 | $36.56 | |
Cigna
| Professional | $23.36 | $36.56 | $45.70 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Midlands
| Professional | $22.40 | $33.00 | $42.44 | |
Sanford Health Plan
| Professional | $30.14 | $30.14 | $33.36 |