| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $104.04 | $121.07 | $130.05 | |
Midlands
| Facility | $90.31 | $90.31 | $90.31 | |
Midlands
| Professional | $63.63 | $66.50 | $148.38 | |
Sanford Health Plan
| Professional | $64.06 | $72.52 | $99.69 |