| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.67 | $100.67 | $2,290.00 | |
Medica
| Facility | $125.31 | $172.26 | $273.89 | |
Midlands
| Facility | $239.86 | $278.24 | $707.92 | |
Sanford Health Plan
| Professional | $131.90 | $178.37 | $221.24 | |
United
| Facility | $1,643.00 | $1,643.00 | $1,643.00 |