| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $103.80 | $103.80 | $103.80 | |
Cigna
| Professional | $66.31 | $103.80 | $129.74 | |
Medica
| Facility | $64.47 | $119.37 | $199.32 | |
Midlands
| Professional | $63.13 | $92.00 | $119.62 | |
Sanford Health Plan
| Professional | $86.54 | $86.54 | $94.00 |