| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.88 | $124.22 | $124.22 | |
Medica
| Facility | $83.34 | $159.80 | $306.20 | |
Midlands
| Facility | $146.19 | $237.98 | $346.22 | |
Sanford Health Plan
| Professional | $97.88 | $157.71 | $212.35 | |
United
| Facility | $1,643.00 | $1,643.00 | $1,643.00 |