| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.83 | $2,290.87 | $4,365.16 | |
Medica
| Facility | $158.49 | $263.03 | $537.03 | |
Midlands
| Professional | $389.05 | $446.68 | $467.74 | |
Sanford Health Plan
| Professional | $234.42 | $316.23 | $371.54 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |