| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.95 | $215.54 | $215.54 | |
Medica
| Facility | $90.22 | $198.33 | $555.80 | |
Midlands
| Facility | $158.33 | $434.00 | $606.94 | |
Sanford Health Plan
| Professional | $105.03 | $263.33 | $361.61 | |
United
| Facility | $1,643.00 | $1,643.00 | $3,106.88 |