| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $588.84 | $4,365.16 | |
Medica
| Facility | $162.18 | $467.74 | $1,096.48 | |
Midlands
| Professional | $316.23 | $407.38 | $1,445.44 | |
Sanford Health Plan
| Professional | $257.04 | $660.69 | $1,122.02 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |