| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $234.42 | $4,365.16 | |
Medica
| Facility | $70.79 | $194.98 | $446.68 | |
Midlands
| Professional | $112.20 | $123.03 | $549.54 | |
Sanford Health Plan
| Professional | $74.13 | $257.04 | $398.11 | |
United
| Facility | $812.83 | $812.83 | $812.83 |