| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.87 | $104.15 | $104.15 | |
Medica
| Facility | $116.16 | $166.44 | $299.05 | |
Midlands
| Facility | $212.00 | $249.64 | $313.91 | |
Sanford Health Plan
| Professional | $125.63 | $188.62 | $221.89 | |
United
| Facility | $821.00 | $821.00 | $821.00 |