| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.03 | $2,290.87 | $4,365.16 | |
Medica
| Facility | $371.54 | $512.86 | $707.95 | |
Midlands
| Professional | $575.44 | $741.31 | $741.31 | |
Sanford Health Plan
| Professional | $407.38 | $575.44 | $707.95 | |
Sanford Health Plan
| Professional | AS | $128.82 | $128.82 | $128.82 |
United
| Facility | $812.83 | $812.83 | $812.83 |