| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Midlands
| Facility | $1,797.24 | $1,929.00 | $2,494.07 | |
Sanford Health Plan
| Professional | $1,367.93 | $1,679.23 | $2,044.00 | |
Sanford Health Plan
| Professional | 80 | $446.55 | $446.55 | $446.55 |
Sanford Health Plan
| Professional | AS | $446.55 | $446.55 | $446.55 |