| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.50 | $257.04 | $4,365.16 | |
Medica
| Facility | $102.33 | $269.15 | $616.60 | |
Midlands
| Professional | $223.87 | $251.19 | $630.96 | |
Sanford Health Plan
| Professional | $169.82 | $338.84 | $501.19 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |