| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.57 | $171.57 | $3,073.00 | |
Medica
| Facility | $184.35 | $289.95 | $529.22 | |
Midlands
| Facility | $293.04 | $496.34 | $9,448.03 | |
Sanford Health Plan
| Professional | $239.59 | $319.45 | $364.20 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |