| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $66.43 | $71.88 | $78.95 | |
Midlands
| Facility | $79.30 | $79.30 | $79.30 | |
Midlands
| Professional | $45.32 | $111.22 | $111.22 | |
Sanford Health Plan
| Professional | $32.00 | $32.00 | $32.00 |