| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $23.99 | $79.43 | |
Medica
| Facility | $21.38 | $61.66 | $138.04 | |
Midlands
| Professional | $44.67 | $54.95 | $173.78 | |
Sanford Health Plan
| Professional | $32.36 | $83.18 | $141.25 |