| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.76 | $635.49 | $635.49 | |
Medica
| Facility | $201.38 | $569.64 | $1,124.42 | |
Midlands
| Facility | $349.39 | $964.64 | $1,749.87 | |
Sanford Health Plan
| Professional | $246.36 | $696.83 | $1,018.22 | |
United
| Facility | $821.00 | $821.00 | $821.00 |