| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.79 | $4,563.60 | $5,281.93 | |
Medica
| Facility | $135.09 | $178.83 | $289.69 | |
Midlands
| Facility | $163.26 | $243.02 | $339.98 | |
Sanford Health Plan
| Professional | $136.08 | $188.94 | $215.42 | |
United
| Facility | $821.00 | $821.00 | $821.00 |