| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $213.80 | $4,365.16 | |
Medica
| Facility | $128.82 | $269.15 | $851.14 | |
Midlands
| Professional | $371.54 | $758.58 | $758.58 | |
Sanford Health Plan
| Professional | $251.19 | $331.13 | $537.03 | |
United
| Facility | $812.83 | $812.83 | $812.83 |