| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $2,290.87 | $4,365.16 | |
Medica
| Facility | $141.25 | $239.88 | $478.63 | |
Midlands
| Professional | $371.54 | $389.05 | $416.87 | |
Sanford Health Plan
| Professional | $204.17 | $281.84 | $331.13 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |