| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.90 | $2,290.87 | $4,365.16 | |
Medica
| Facility | $165.96 | $218.78 | $316.23 | |
Midlands
| Professional | $269.15 | $323.59 | $323.59 | |
Sanford Health Plan
| Professional | $169.82 | $245.47 | $302.00 | |
United
| Facility | $812.83 | $812.83 | $812.83 |