| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $134.49 | $164.45 | $205.56 | |
Midlands
| Facility | $175.74 | $175.74 | $175.74 | |
Midlands
| Professional | $105.11 | $175.06 | $179.22 | |
Sanford Health Plan
| Professional | $83.77 | $149.68 | $157.54 |