| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $308.43 | $308.43 | $2,290.00 | |
Medica
| Facility | $373.86 | $488.98 | $713.11 | |
Midlands
| Facility | $493.55 | $714.47 | $1,024.04 | |
Sanford Health Plan
| Professional | $410.76 | $565.02 | $651.42 | |
Sanford Health Plan
| Professional | AS | $125.86 | $125.86 | $125.86 |
United
| Facility | $821.00 | $821.00 | $821.00 |