| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.15 | $143.22 | $143.22 | |
Medica
| Facility | $158.65 | $228.11 | $439.16 | |
Midlands
| Facility | $278.00 | $341.96 | $456.77 | |
Sanford Health Plan
| Professional | $179.68 | $254.05 | $298.87 | |
United
| Facility | $821.00 | $821.00 | $821.00 |