| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.78 | $47.78 | $47.78 | |
Medica
| Facility | $43.25 | $67.86 | $102.65 | |
Midlands
| Facility | $65.81 | $92.95 | $106.87 | |
Sanford Health Plan
| Professional | $49.95 | $73.19 | $83.45 |