| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $5,248.07 | $10,000.00 | |
Medica
| Facility | $134.90 | $177.83 | $295.12 | |
Midlands
| Professional | $234.42 | $245.47 | $245.47 | |
Sanford Health Plan
| Professional | $134.90 | $190.55 | $213.80 | |
United
| Facility | $812.83 | $812.83 | $812.83 |