| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.88 | $891.25 | $4,365.16 | |
Medica
| Facility | $204.17 | $812.83 | $2,041.74 | |
Midlands
| Professional | $323.59 | $354.81 | $1,819.70 | |
Sanford Health Plan
| Professional | $245.47 | $1,071.52 | $1,445.44 | |
United
| Facility | $812.83 | $812.83 | $812.83 |