| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.07 | $323.07 | $323.07 | |
Medica
| Facility | $350.91 | $473.64 | $767.91 | |
Midlands
| Facility | $634.04 | $692.41 | $1,101.56 | |
Sanford Health Plan
| Professional | $386.58 | $535.04 | $629.42 |