| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.15 | $257.04 | $4,365.16 | |
Medica
| Facility | $154.88 | $302.00 | $446.68 | |
Midlands
| Professional | $245.47 | $251.19 | $537.03 | |
Sanford Health Plan
| Professional | $177.83 | $316.23 | $467.74 | |
United
| Facility | $1,659.59 | $1,659.59 | $1,659.59 |