| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.71 | $357.32 | $1,201.20 | |
Medica
| Facility | $243.03 | $435.94 | $707.25 | |
Midlands
| Facility | $388.36 | $465.55 | $773.37 | |
Sanford Health Plan
| Professional | $268.07 | $440.06 | $620.38 | |
United
| Facility | $821.00 | $821.00 | $821.00 |