| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $207.77 | $207.77 | $2,290.00 | |
Medica
| Facility | $253.12 | $299.14 | $422.65 | |
Midlands
| Facility | $395.46 | $443.46 | $594.44 | |
Sanford Health Plan
| Professional | $295.55 | $390.37 | $445.07 | |
United
| Facility | $821.00 | $821.00 | $821.00 |