| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.91 | $147.91 | $4,365.16 | |
Medica
| Facility | $173.78 | $208.93 | $416.87 | |
Midlands
| Professional | $323.59 | $331.13 | $346.74 | |
Sanford Health Plan
| Professional | $199.53 | $269.15 | $295.12 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |