| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $138.04 | $4,365.16 | |
Medica
| Facility | $134.90 | $218.78 | $380.19 | |
Midlands
| Professional | $309.03 | $316.23 | $338.84 | |
Sanford Health Plan
| Professional | $181.97 | $251.19 | $302.00 | |
United
| Facility | $812.83 | $812.83 | $812.83 |