| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $24.81 | $24.81 | $24.81 | |
Cigna
| Professional | $15.85 | $24.81 | $31.01 | |
Medica
| Facility | $15.17 | $30.80 | $100.00 | |
Midlands
| Professional | $14.89 | $14.95 | $22.00 | |
Sanford Health Plan
| Professional | $22.19 | $22.31 | $22.31 |