| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.05 | $98.05 | $3,073.00 | |
Medica
| Facility | $130.38 | $165.70 | $272.80 | |
Midlands
| Facility | $156.63 | $234.68 | $953.00 | |
Sanford Health Plan
| Professional | $126.04 | $173.06 | $211.66 | |
United
| Facility | $821.00 | $821.00 | $821.00 |