| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $162.18 | $4,365.16 | |
Medica
| Facility | $218.78 | $275.42 | $467.74 | |
Midlands
| Professional | $346.74 | $346.74 | $371.54 | |
Sanford Health Plan
| Professional | $218.78 | $288.40 | $309.03 | |
United
| Facility | $5,370.32 | $5,370.32 | $5,370.32 |