| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $149.86 | $270.52 | $270.52 | |
Medica
| Facility | $213.62 | $357.99 | $611.38 | |
Midlands
| Facility | $372.35 | $568.41 | $887.36 | |
Sanford Health Plan
| Professional | $251.85 | $362.37 | $505.23 | |
United
| Facility | $1,643.00 | $1,643.00 | $1,643.00 |