| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $141.38 | $141.38 | $176.72 | |
Midlands
| Facility | $173.71 | $173.71 | $195.00 | |
Midlands
| Professional | $123.00 | $173.71 | $255.51 | |
Sanford Health Plan
| Professional | $139.72 | $210.03 | $215.90 |