| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.75 | $81.75 | $2,290.00 | |
Medica
| Facility | $98.50 | $125.91 | $187.88 | |
Midlands
| Facility | $152.28 | $195.14 | $261.75 | |
Sanford Health Plan
| Professional | $102.17 | $142.41 | $162.37 | |
United
| Facility | $821.00 | $821.00 | $821.00 |