| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.54 | $2,290.87 | $4,365.16 | |
Medica
| Facility | $131.83 | $218.78 | $436.52 | |
Midlands
| Professional | $302.00 | $354.81 | $380.19 | |
Sanford Health Plan
| Professional | $190.55 | $257.04 | $302.00 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |