| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.89 | $4,365.16 | $6,760.83 | |
Medica
| Facility | $169.82 | $316.23 | $724.44 | |
Midlands
| Professional | $275.42 | $275.42 | $288.40 | |
Sanford Health Plan
| Professional | $173.78 | $245.47 | $478.63 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |