| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.37 | $147.37 | $2,290.00 | |
Medica
| Facility | $162.18 | $219.14 | $404.01 | |
Midlands
| Facility | $293.63 | $389.89 | $509.94 | |
Sanford Health Plan
| Professional | $203.69 | $279.16 | $318.27 | |
United
| Facility | $821.00 | $821.00 | $821.00 |