| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.74 | $346.74 | $4,365.16 | |
Medica
| Facility | $416.87 | $562.34 | $912.01 | |
Midlands
| Professional | $676.08 | $758.58 | $758.58 | |
Sanford Health Plan
| Professional | $354.81 | $562.34 | $676.08 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |