| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.62 | $166.99 | $562.83 | |
Medica
| Facility | $124.35 | $244.70 | $458.29 | |
Midlands
| Facility | $186.85 | $290.94 | $445.64 | |
Sanford Health Plan
| Professional | $154.52 | $250.31 | $335.74 | |
United
| Facility | $821.00 | $821.00 | $821.00 |