| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Midlands
| Professional | $2,511.89 | $2,511.89 | $2,511.89 | |
Sanford Health Plan
| Professional | $1,380.38 | $1,513.56 | $2,041.74 | |
Sanford Health Plan
| Professional | 80 | $457.09 | $457.09 | $457.09 |
Sanford Health Plan
| Professional | AS | $457.09 | $457.09 | $457.09 |