| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.83 | $389.05 | $4,365.16 | |
Medica
| Facility | $134.90 | $363.08 | $1,584.89 | |
Midlands
| Professional | $302.00 | $346.74 | $1,071.52 | |
Sanford Health Plan
| Professional | $199.53 | $512.86 | $741.31 | |
United
| Facility | $812.83 | $812.83 | $812.83 |