| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.42 | $1,230.27 | $4,365.16 | |
Medica
| Facility | $245.47 | $1,071.52 | $2,884.03 | |
Midlands
| Professional | $562.34 | $630.96 | $2,951.21 | |
Sanford Health Plan
| Professional | $416.87 | $1,513.56 | $2,238.72 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |