| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $354.81 | $354.81 | $4,365.16 | |
Medica
| Facility | $467.74 | $602.56 | $933.25 | |
Midlands
| Professional | $758.58 | $758.58 | $794.33 | |
Sanford Health Plan
| Professional | $457.09 | $602.56 | $676.08 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |