| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.59 | $323.59 | $478.63 | |
Medica
| Facility | $354.81 | $426.58 | $794.33 | |
Midlands
| Professional | $724.44 | $724.44 | $724.44 | |
Sanford Health Plan
| Professional | $407.38 | $537.03 | $630.96 |