| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $217.00 | $217.00 | $271.25 | |
Cigna
| Professional | $162.75 | $164.38 | $203.44 | |
Midlands
| Facility | $194.42 | $194.42 | $194.42 | |
Midlands
| Professional | $194.42 | $260.08 | $260.08 | |
Sanford Health Plan
| Professional | $175.00 | $175.00 | $175.00 |