| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.89 | $204.17 | $4,365.16 | |
Medica
| Facility | $154.88 | $288.40 | $537.03 | |
Midlands
| Professional | $288.40 | $302.00 | $467.74 | |
Sanford Health Plan
| Professional | $213.80 | $323.59 | $398.11 | |
United
| Facility | $812.83 | $812.83 | $812.83 |