| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $303.64 | $305.43 | $305.43 | |
Medica
| Facility | $367.51 | $472.44 | $728.10 | |
Midlands
| Facility | $230.01 | $641.55 | $908.31 | |
Sanford Health Plan
| Professional | $343.67 | $507.01 | $597.74 | |
United
| Facility | $821.00 | $821.00 | $821.00 |