| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $363.08 | $3,090.30 | $4,365.16 | |
Medica
| Facility | $478.63 | $562.34 | $912.01 | |
Midlands
| Professional | $741.31 | $741.31 | $758.58 | |
Sanford Health Plan
| Professional | $446.68 | $588.84 | $660.69 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |