| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.61 | $837.97 | $837.97 | |
Medica
| Facility | $183.58 | $721.20 | $2,102.69 | |
Midlands
| Facility | $377.25 | $1,636.04 | $2,710.33 | |
Sanford Health Plan
| Professional | $220.41 | $1,082.61 | $1,548.68 | |
United
| Facility | $821.00 | $821.00 | $821.00 |