| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.21 | $313.35 | $313.35 | |
Medica
| Facility | $56.21 | $286.51 | $821.00 | |
Midlands
| Facility | $101.68 | $681.06 | $941.88 | |
Sanford Health Plan
| Professional | $60.77 | $313.45 | $586.36 | |
United
| Facility | $821.00 | $821.00 | $821.00 |