| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.49 | $2,290.87 | $4,365.16 | |
Medica
| Facility | $141.25 | $194.98 | $269.15 | |
Midlands
| Professional | $251.19 | $295.12 | $295.12 | |
Sanford Health Plan
| Professional | $147.91 | $199.53 | $251.19 | |
United
| Facility | $812.83 | $812.83 | $812.83 |