| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.11 | $360.61 | $360.61 | |
Medica
| Facility | $329.33 | $532.41 | $952.90 | |
Midlands
| Facility | $504.65 | $658.03 | $982.60 | |
Sanford Health Plan
| Professional | $374.45 | $522.80 | $701.24 | |
United
| Facility | $821.00 | $821.00 | $821.00 |