| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $275.42 | $4,365.16 | |
Medica
| Facility | $123.03 | $251.19 | $630.96 | |
Midlands
| Professional | $194.98 | $204.17 | $588.84 | |
Sanford Health Plan
| Professional | $147.91 | $323.59 | $501.19 | |
United
| Facility | $1,659.59 | $1,659.59 | $1,659.59 |