| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.13 | $234.13 | $2,290.00 | |
Medica
| Facility | $286.19 | $363.20 | $545.89 | |
Midlands
| Facility | $445.08 | $565.49 | $794.64 | |
Sanford Health Plan
| Professional | $333.75 | $440.87 | $502.64 | |
United
| Facility | $821.00 | $821.00 | $821.00 |