| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.15 | $98.15 | $2,457.17 | |
Medica
| Facility | $121.56 | $242.57 | $649.32 | |
Midlands
| Facility | $222.99 | $278.14 | $948.60 | |
Sanford Health Plan
| Professional | $125.65 | $174.32 | $413.10 | |
United
| Facility | $1,643.00 | $1,643.00 | $1,643.00 |