| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $3,090.30 | $4,365.16 | |
Medica
| Facility | $154.88 | $269.15 | $524.81 | |
Midlands
| Professional | $407.38 | $426.58 | $457.09 | |
Sanford Health Plan
| Professional | $223.87 | $309.03 | $363.08 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |