| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $61.66 | $61.66 | $61.66 | |
Cigna
| Professional | $37.15 | $61.66 | $77.62 | |
Medica
| Facility | $36.31 | $109.65 | $112.20 | |
Sanford Health Plan
| Professional | $47.86 | $47.86 | $53.70 |