| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.58 | $25.58 | $414.92 | |
Medica
| Facility | $33.02 | $353.43 | $737.46 | |
Midlands
| Facility | $34.97 | $507.16 | $829.52 | |
Sanford Health Plan
| Professional | $35.21 | $372.76 | $674.07 |