| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $49.61 | $49.61 | $49.61 | |
Cigna
| Professional | $31.70 | $49.61 | $62.02 | |
Medica
| Facility | $31.18 | $59.31 | $173.00 | |
Midlands
| Professional | $30.33 | $44.00 | $57.46 | |
Sanford Health Plan
| Professional | $41.57 | $41.57 | $45.15 |