| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.66 | $512.86 | $4,365.16 | |
Medica
| Facility | $75.86 | $97.72 | $158.49 | |
Midlands
| Professional | $128.82 | $128.82 | $134.90 | |
Sanford Health Plan
| Professional | $72.44 | $100.00 | $114.82 | |
United
| Facility | $812.83 | $812.83 | $812.83 |