| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.15 | $290.92 | $290.92 | |
Medica
| Facility | $81.00 | $254.36 | $702.74 | |
Midlands
| Facility | $163.95 | $570.37 | $938.56 | |
Sanford Health Plan
| Professional | $111.08 | $335.95 | $553.10 | |
United
| Facility | $1,643.00 | $1,643.00 | $1,643.00 |