| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.30 | $98.23 | $98.23 | |
Medica
| Facility | $80.06 | $137.24 | $239.38 | |
Midlands
| Facility | $141.59 | $185.90 | $293.02 | |
Sanford Health Plan
| Professional | $94.88 | $137.46 | $184.37 | |
United
| Facility | $1,643.00 | $1,643.00 | $1,643.00 |