| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.67 | $44.67 | $2,089.30 | |
Medica
| Facility | $39.81 | $60.26 | $112.20 | |
Midlands
| Professional | $85.11 | $93.33 | $104.71 | |
Sanford Health Plan
| Professional | $51.29 | $74.13 | $95.50 |