| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $132.02 | $153.63 | $165.03 | |
Midlands
| Facility | $115.82 | $115.82 | $115.82 | |
Midlands
| Professional | $82.51 | $105.31 | $189.49 | |
Sanford Health Plan
| Professional | $86.38 | $94.39 | $129.78 |