| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $870.96 | $4,365.16 | |
Medica
| Facility | $251.19 | $954.99 | $1,995.26 | |
Midlands
| Professional | $436.52 | $478.63 | $1,698.24 | |
Sanford Health Plan
| Professional | $331.13 | $1,071.52 | $1,445.44 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |