| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $3,090.30 | $4,365.16 | |
Medica
| Facility | $165.96 | $281.84 | $549.54 | |
Midlands
| Professional | $426.58 | $457.09 | $478.63 | |
Sanford Health Plan
| Professional | $239.88 | $323.59 | $380.19 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |