| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $81.38 | $81.38 | $101.72 | |
Midlands
| Facility | $105.39 | $105.39 | $105.39 | |
Midlands
| Professional | $105.39 | $105.39 | $105.39 | |
Sanford Health Plan
| Professional | $113.46 | $126.83 | $133.49 |