| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $294.77 | $294.77 | $2,290.00 | |
Medica
| Facility | $287.70 | $460.10 | $745.97 | |
Midlands
| Facility | $547.08 | $693.27 | $913.52 | |
Sanford Health Plan
| Professional | $380.14 | $494.21 | $563.45 | |
United
| Facility | $821.00 | $821.00 | $821.00 |