| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,622.08 | $2,081.66 | $3,278.08 | |
Midlands
| Facility | $1,885.03 | $2,837.11 | $3,877.27 | |
Sanford Health Plan
| Professional | $1,549.25 | $2,098.00 | $2,464.04 | |
Sanford Health Plan
| Professional | AS | $464.82 | $464.82 | $464.82 |