| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.38 | $123.97 | $145.84 | |
Medica
| Facility | $167.92 | $236.61 | $321.76 | |
Midlands
| Facility | $229.02 | $308.14 | $376.99 | |
Sanford Health Plan
| Professional | $189.83 | $273.08 | $339.19 |