| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $82.50 | $130.50 | $163.13 | |
Midlands
| Facility | $164.91 | $164.91 | $164.91 | |
Midlands
| Professional | $147.24 | $164.91 | $164.91 | |
Sanford Health Plan
| Professional | $151.60 | $151.60 | $151.60 |