| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.23 | $2,290.87 | $4,365.16 | |
Medica
| Facility | $144.54 | $190.55 | $275.42 | |
Midlands
| Professional | $229.09 | $281.84 | $281.84 | |
Sanford Health Plan
| Professional | $147.91 | $208.93 | $263.03 | |
United
| Facility | $812.83 | $812.83 | $812.83 |