| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.03 | $3,548.13 | $4,365.16 | |
Medica
| Facility | $162.18 | $194.98 | $371.54 | |
Midlands
| Professional | $263.03 | $263.03 | $281.84 | |
Sanford Health Plan
| Professional | $162.18 | $218.78 | $234.42 | |
United
| Facility | $1,659.59 | $1,659.59 | $1,659.59 |