| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $425.62 | $425.62 | $425.62 | |
Medica
| Facility | $408.61 | $665.20 | $1,148.51 | |
Midlands
| Facility | $832.59 | $993.26 | $1,297.29 | |
Sanford Health Plan
| Professional | $534.96 | $704.14 | $802.80 | |
Sanford Health Plan
| Professional | 80 | $159.19 | $159.19 | $159.19 |
United
| Facility | $821.00 | $821.00 | $821.00 |