| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $197.81 | $197.81 | $2,290.00 | |
Medica
| Facility | $230.52 | $309.14 | $439.69 | |
Midlands
| Facility | $362.27 | $481.21 | $658.91 | |
Sanford Health Plan
| Professional | $268.18 | $330.23 | $400.62 | |
United
| Facility | $821.00 | $821.00 | $821.00 |