| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.47 | $245.47 | $4,365.16 | |
Medica
| Facility | $309.03 | $416.87 | $724.44 | |
Midlands
| Professional | $575.44 | $616.60 | $616.60 | |
Sanford Health Plan
| Professional | $316.23 | $457.09 | $524.81 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |