| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $281.84 | $3,548.13 | $4,365.16 | |
Medica
| Facility | $380.19 | $467.74 | $812.83 | |
Midlands
| Professional | $645.65 | $660.69 | $691.83 | |
Sanford Health Plan
| Professional | $389.05 | $524.81 | $588.84 | |
United
| Facility | $4,466.84 | $4,466.84 | $4,466.84 |