| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Midlands
| Facility | $2,634.91 | $2,812.00 | $3,661.47 | |
Sanford Health Plan
| Professional | $2,148.62 | $2,906.90 | $2,997.87 | |
Sanford Health Plan
| Professional | 80 | $656.95 | $656.95 | $656.95 |
Sanford Health Plan
| Professional | AS | $656.95 | $656.95 | $656.95 |