| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.76 | $278.41 | $278.41 | |
Medica
| Facility | $152.77 | $332.34 | $701.45 | |
Midlands
| Facility | $340.61 | $471.37 | $889.54 | |
Sanford Health Plan
| Professional | $225.72 | $347.54 | $545.15 | |
United
| Facility | $821.00 | $821.00 | $821.00 |