| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.00 | $29.00 | $29.00 | |
Medica
| Professional | $15.75 | $17.32 | $17.32 | |
Midlands
| Professional | $16.51 | $16.51 | $16.51 | |
Sanford Health Plan
| Professional | $26.00 | $26.00 | $26.00 | |
United
| Professional | $15.75 | $17.32 | $17.80 |