| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $9.75 | $9.75 | $12.19 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Sanford Health Plan
| Professional | $11.59 | $19.32 | $19.32 |
Salicylate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $9.75 | $9.75 | $12.19 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Sanford Health Plan
| Professional | $11.59 | $19.32 | $19.32 |