| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.15 | $199.53 | $4,365.16 | |
Medica
| Facility | $134.90 | $281.84 | $524.81 | |
Midlands
| Professional | $251.19 | $269.15 | $446.68 | |
Sanford Health Plan
| Professional | $190.55 | $323.59 | $398.11 | |
United
| Facility | $812.83 | $812.83 | $812.83 |