| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.42 | $234.42 | $4,365.16 | |
Medica
| Facility | $295.12 | $371.54 | $630.96 | |
Midlands
| Professional | $501.19 | $501.19 | $537.03 | |
Sanford Health Plan
| Professional | $302.00 | $407.38 | $446.68 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |