| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.59 | $3,548.13 | $5,128.61 | |
Medica
| Facility | $426.58 | $501.19 | $812.83 | |
Midlands
| Professional | $676.08 | $676.08 | $691.83 | |
Sanford Health Plan
| Professional | $389.05 | $524.81 | $602.56 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |