| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $96.50 | $96.50 | $120.63 | |
Cigna
| Professional | $72.38 | $73.09 | $90.47 | |
Sanford Health Plan
| Professional | $77.92 | $77.92 | $77.92 |
Puraply or puraply am
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $96.50 | $96.50 | $120.63 | |
Cigna
| Professional | $72.38 | $73.09 | $90.47 | |
Sanford Health Plan
| Professional | $77.92 | $77.92 | $77.92 |