| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.83 | $977.24 | $4,365.16 | |
Medica
| Facility | $234.42 | $812.83 | $2,238.72 | |
Midlands
| Professional | $371.54 | $407.38 | $1,995.26 | |
Sanford Health Plan
| Professional | $275.42 | $1,148.15 | $1,548.82 | |
United
| Facility | $812.83 | $812.83 | $812.83 |