| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $34.13 | $34.47 | $42.66 | |
Medica
| Professional | $97.66 | $97.66 | $97.66 | |
Midlands
| Professional | $36.28 | $57.04 | $57.04 | |
Sanford Health Plan
| Professional | $39.36 | $39.36 | $49.20 |