| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $302.00 | $4,365.16 | |
Medica
| Facility | $218.78 | $389.05 | $954.99 | |
Midlands
| Professional | $630.96 | $831.76 | $831.76 | |
Sanford Health Plan
| Professional | $380.19 | $549.54 | $616.60 | |
United
| Facility | $812.83 | $812.83 | $812.83 |