| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.03 | $194.98 | $4,365.16 | |
Medica
| Facility | $154.88 | $239.88 | $467.74 | |
Midlands
| Professional | $288.40 | $302.00 | $436.52 | |
Sanford Health Plan
| Professional | $199.53 | $288.40 | $389.05 | |
United
| Facility | $812.83 | $812.83 | $812.83 |