| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $354.81 | $3,090.30 | $4,365.16 | |
Medica
| Facility | $446.68 | $602.56 | $954.99 | |
Midlands
| Professional | $707.95 | $794.33 | $794.33 | |
Sanford Health Plan
| Professional | $380.19 | $588.84 | $707.95 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |