| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.26 | $208.26 | $2,290.00 | |
Medica
| Facility | $199.31 | $320.69 | $519.94 | |
Midlands
| Facility | $393.93 | $444.55 | $527.99 | |
Sanford Health Plan
| Professional | $264.24 | $343.84 | $392.02 | |
United
| Facility | $821.00 | $821.00 | $821.00 |