| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $229.09 | $4,365.16 | |
Medica
| Facility | $141.25 | $275.42 | $537.03 | |
Midlands
| Professional | $251.19 | $251.19 | $467.74 | |
Sanford Health Plan
| Professional | $186.21 | $295.12 | $416.87 | |
United
| Facility | $812.83 | $812.83 | $812.83 |