| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.00 | $384.82 | $384.82 | |
Medica
| Facility | $253.80 | $493.21 | $945.03 | |
Midlands
| Facility | $440.96 | $725.60 | $1,106.70 | |
Sanford Health Plan
| Professional | $299.14 | $469.78 | $644.96 | |
United
| Facility | $1,643.00 | $1,643.00 | $1,643.00 |