| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $189.25 | $505.26 | $5,941.99 | |
Aetna
| Facility | 52 | $94.63 | $94.63 | $244.27 |
Medica
| Facility | $245.13 | $556.96 | $1,529.85 | |
Midlands
| Facility | $458.62 | $1,112.28 | $2,818.04 | |
Sanford Health Plan
| Professional | $301.89 | $641.46 | $973.58 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |