| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $18.00 | $18.00 | $22.50 | |
Midlands
| Facility | $24.41 | $24.41 | $24.41 | |
Midlands
| Professional | $24.41 | $24.41 | $24.95 | |
Sanford Health Plan
| Professional | $26.00 | $26.00 | $26.00 |