| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $4,365.16 | $4,897.79 | |
Medica
| Facility | $177.83 | $239.88 | $478.63 | |
Midlands
| Professional | $263.03 | $338.84 | $407.38 | |
Sanford Health Plan
| Professional | $173.78 | $288.40 | $346.74 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |