| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $281.84 | $281.84 | $4,365.16 | |
Medica
| Facility | $346.74 | $446.68 | $758.58 | |
Midlands
| Professional | $602.56 | $602.56 | $630.96 | |
Sanford Health Plan
| Professional | $363.08 | $489.78 | $537.03 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |