| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $338.84 | $562.34 | $1,148.15 | |
Midlands
| Professional | $912.01 | $933.25 | $1,000.00 | |
Sanford Health Plan
| Professional | $489.78 | $676.08 | $812.83 | |
Sanford Health Plan
| Professional | AS | $158.49 | $158.49 | $158.49 |