| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $52.48 | $52.48 | $52.48 | |
Cigna
| Professional | $32.36 | $52.48 | $66.07 | |
Medica
| Facility | $30.90 | $58.88 | $138.04 | |
Sanford Health Plan
| Professional | $33.11 | $54.95 | $123.03 |