| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,621.81 | $2,089.30 | $3,311.31 | |
Midlands
| Professional | $2,630.27 | $2,818.38 | $2,818.38 | |
Sanford Health Plan
| Professional | $1,479.11 | $2,137.96 | $2,454.71 | |
Sanford Health Plan
| Professional | AS | $478.63 | $478.63 | $478.63 |