| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.27 | $115.04 | $115.04 | |
Medica
| Facility | $112.94 | $191.09 | $312.75 | |
Midlands
| Facility | $209.00 | $272.87 | $320.36 | |
Sanford Health Plan
| Professional | $139.28 | $191.96 | $235.18 | |
United
| Facility | $821.00 | $821.00 | $821.00 |