| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.08 | $134.55 | $179.33 | |
Medica
| Facility | $167.81 | $227.39 | $426.84 | |
Midlands
| Facility | $306.81 | $402.27 | $572.52 | |
Sanford Health Plan
| Professional | $189.43 | $280.11 | $366.79 | |
United
| Facility | $821.00 | $821.00 | $821.00 |