| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $97.72 | $4,365.16 | |
Medica
| Facility | $83.18 | $123.03 | $239.88 | |
Midlands
| Professional | $144.54 | $158.49 | $213.80 | |
Sanford Health Plan
| Professional | $100.00 | $147.91 | $186.21 | |
United
| Facility | $1,659.59 | $1,659.59 | $1,659.59 |