| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $48.31 | $48.31 | $48.31 | |
Cigna
| Professional | $30.87 | $48.31 | $60.38 | |
Medica
| Facility | $29.92 | $74.14 | $158.10 | |
Midlands
| Professional | $29.41 | $43.00 | $53.42 | |
Sanford Health Plan
| Professional | $12.85 | $12.85 | $43.81 |