| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.98 | $194.98 | $4,365.16 | |
Medica
| Facility | $257.04 | $309.03 | $537.03 | |
Midlands
| Professional | $416.87 | $416.87 | $446.68 | |
Sanford Health Plan
| Professional | $257.04 | $331.13 | $371.54 | |
United
| Facility | $812.83 | $812.83 | $812.83 |