| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.87 | $223.87 | $4,365.16 | |
Medica
| Facility | $275.42 | $309.03 | $562.34 | |
Midlands
| Professional | $446.68 | $446.68 | $512.86 | |
Sanford Health Plan
| Professional | $269.15 | $346.74 | $398.11 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |