| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $57.54 | $57.54 | $57.54 | |
Cigna
| Professional | $34.67 | $57.54 | $70.79 | |
Medica
| Facility | $194.98 | $194.98 | $194.98 | |
Midlands
| Professional | $40.74 | $40.74 | $40.74 | |
Sanford Health Plan
| Professional | $42.66 | $61.66 | $81.28 |