| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $197.30 | $319.22 | $319.22 | |
Medica
| Facility | $243.20 | $469.34 | $823.08 | |
Midlands
| Facility | $236.07 | $513.86 | $860.72 | |
Sanford Health Plan
| Professional | $310.41 | $417.71 | $628.83 | |
United
| Facility | $821.00 | $821.00 | $821.00 |