| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.81 | $236.66 | $3,788.60 | |
Medica
| Facility | $93.05 | $233.76 | $404.56 | |
Midlands
| Facility | $145.32 | $326.37 | $607.96 | |
Sanford Health Plan
| Professional | $105.89 | $239.93 | $361.62 | |
United
| Facility | $821.00 | $821.00 | $821.00 |