| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $87.48 | $87.48 | $87.48 | |
Cigna
| Professional | $55.90 | $87.48 | $109.34 | |
Medica
| Facility | $54.36 | $118.62 | $167.46 | |
Midlands
| Professional | $53.06 | $78.00 | $100.53 | |
Sanford Health Plan
| Professional | $72.75 | $72.75 | $79.02 |