| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.80 | $45.80 | $45.80 | |
Medica
| Facility | $39.75 | $61.62 | $105.49 | |
Midlands
| Facility | $66.25 | $96.54 | $113.33 | |
Sanford Health Plan
| Professional | $52.16 | $73.69 | $86.68 |