| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $58.75 | $58.75 | $58.75 | |
Cigna
| Professional | $37.54 | $58.75 | $73.44 | |
Medica
| Facility | $36.65 | $110.00 | $113.22 | |
Midlands
| Professional | $35.81 | $49.83 | $52.00 | |
Sanford Health Plan
| Professional | $48.16 | $48.16 | $53.33 |