| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $32.64 | $32.64 | $32.64 | |
Cigna
| Professional | $20.86 | $32.64 | $40.79 | |
Medica
| Facility | $20.23 | $52.80 | $100.00 | |
Midlands
| Professional | $19.98 | $29.00 | $37.86 | |
Sanford Health Plan
| Professional | $28.47 | $28.47 | $29.76 |