| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.86 | $84.86 | $4,338.00 | |
Medica
| Facility | $105.99 | $143.41 | $247.00 | |
Midlands
| Facility | $140.88 | $222.85 | $290.94 | |
Sanford Health Plan
| Professional | $115.06 | $158.87 | $181.13 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |