| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $323.59 | $4,365.16 | |
Medica
| Facility | $97.72 | $288.40 | $707.95 | |
Midlands
| Professional | $204.17 | $229.09 | $794.33 | |
Sanford Health Plan
| Professional | $154.88 | $363.08 | $616.60 | |
United
| Facility | $1,659.59 | $1,659.59 | $1,659.59 |