| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $501.19 | $4,365.16 | |
Medica
| Facility | $17.38 | $29.51 | $60.26 | |
Midlands
| Professional | $46.77 | $50.12 | $52.48 | |
Sanford Health Plan
| Professional | $26.30 | $35.48 | $41.69 | |
United
| Facility | $812.83 | $812.83 | $812.83 |