| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $327.33 | $327.33 | $2,290.00 | |
Medica
| Facility | $324.31 | $451.18 | $804.15 | |
Midlands
| Facility | $221.74 | $449.40 | $1,024.04 | |
Sanford Health Plan
| Professional | $308.67 | $509.75 | $638.49 | |
United
| Facility | $821.00 | $821.00 | $821.00 |