| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $334.86 | $334.86 | $2,290.00 | |
Medica
| Facility | $444.79 | $565.91 | $940.06 | |
Midlands
| Facility | $534.47 | $799.20 | $1,104.36 | |
Sanford Health Plan
| Professional | $442.58 | $612.11 | $701.24 | |
Sanford Health Plan
| Professional | AS | $135.38 | $135.38 | $135.38 |
United
| Facility | $821.00 | $821.00 | $821.00 |