| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.81 | $153.81 | $3,073.00 | |
Medica
| Facility | $180.58 | $223.21 | $453.28 | |
Midlands
| Facility | $240.20 | $374.76 | $480.78 | |
Sanford Health Plan
| Professional | $196.38 | $261.57 | $298.22 | |
United
| Facility | $1,643.00 | $1,643.00 | $1,643.00 |