| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $28.84 | $28.84 | $28.84 | |
Cigna
| Professional | $17.38 | $28.84 | $36.31 | |
Medica
| Facility | $89.13 | $89.13 | $89.13 | |
Midlands
| Professional | $33.11 | $33.11 | $33.11 | |
Sanford Health Plan
| Professional | $21.88 | $35.48 | $41.69 |