| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.54 | $309.03 | $4,365.16 | |
Medica
| Facility | $208.93 | $380.19 | $645.65 | |
Midlands
| Professional | $338.84 | $346.74 | $645.65 | |
Sanford Health Plan
| Professional | $257.04 | $380.19 | $588.84 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |