| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.10 | $120.23 | $4,365.16 | |
Medica
| Facility | $151.36 | $169.82 | $309.03 | |
Midlands
| Professional | $263.03 | $263.03 | $288.40 | |
Sanford Health Plan
| Professional | $154.88 | $199.53 | $234.42 | |
Sanford Health Plan
| Professional | 80 | $48.98 | $48.98 | $48.98 |
Sanford Health Plan
| Professional | AS | $48.98 | $48.98 | $48.98 |
United
| Facility | $812.83 | $812.83 | $812.83 |