| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.92 | $223.92 | $3,073.00 | |
Medica
| Facility | $304.88 | $381.25 | $651.27 | |
Midlands
| Facility | $371.73 | $553.88 | $953.00 | |
Sanford Health Plan
| Professional | $297.54 | $401.62 | $464.10 | |
United
| Facility | $821.00 | $821.00 | $821.00 |