| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.86 | $75.86 | $4,365.16 | |
Medica
| Facility | $93.33 | $120.23 | $213.80 | |
Midlands
| Professional | $169.82 | $186.21 | $186.21 | |
Sanford Health Plan
| Professional | $97.72 | $138.04 | $158.49 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |