| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.82 | $98.82 | $2,290.00 | |
Medica
| Facility | $120.82 | $150.55 | $230.46 | |
Midlands
| Facility | $186.53 | $233.48 | $321.20 | |
Sanford Health Plan
| Professional | $123.11 | $178.16 | $203.13 | |
United
| Facility | $821.00 | $821.00 | $821.00 |