| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.98 | $2,290.87 | $4,365.16 | |
Medica
| Facility | $257.04 | $331.13 | $512.86 | |
Midlands
| Professional | $407.38 | $446.68 | $446.68 | |
Sanford Health Plan
| Professional | $223.87 | $331.13 | $389.05 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |