| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $181.88 | $246.00 | $307.50 | |
Midlands
| Facility | $313.27 | $313.27 | $313.27 | |
Midlands
| Professional | $279.70 | $313.27 | $313.27 | |
Sanford Health Plan
| Professional | $285.95 | $285.95 | $285.95 |