| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.60 | $224.60 | $2,290.00 | |
Medica
| Facility | $271.52 | $354.44 | $517.91 | |
Midlands
| Facility | $358.15 | $528.39 | $748.74 | |
Sanford Health Plan
| Professional | $301.89 | $407.91 | $469.65 | |
Sanford Health Plan
| Professional | AS | $90.85 | $90.85 | $90.85 |
United
| Facility | $821.00 | $821.00 | $821.00 |