| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $28.72 | $28.72 | $28.72 | |
Cigna
| Professional | $18.35 | $28.72 | $35.90 | |
Medica
| Facility | $18.12 | $19.27 | $90.00 | |
Midlands
| Professional | $15.08 | $26.00 | $26.90 | |
Sanford Health Plan
| Professional | $20.95 | $20.95 | $22.46 |