| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $54.38 | $54.38 | $67.97 | |
Midlands
| Facility | $128.66 | $128.66 | $128.66 | |
Midlands
| Professional | $105.54 | $128.66 | $192.19 | |
Sanford Health Plan
| Professional | $57.23 | $57.23 | $57.23 |