| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $252.00 | $252.00 | $315.00 | |
Midlands
| Facility | $329.62 | $329.62 | $483.60 | |
Midlands
| Professional | $329.62 | $329.62 | $483.60 | |
Sanford Health Plan
| Professional | $289.32 | $364.93 | $410.00 |