| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $3,090.30 | $4,365.16 | |
Medica
| Facility | $181.97 | $223.87 | $457.09 | |
Midlands
| Professional | $331.13 | $338.84 | $363.08 | |
Sanford Health Plan
| Professional | $208.93 | $263.03 | $295.12 | |
United
| Facility | $1,659.59 | $1,659.59 | $1,659.59 |