| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $707.95 | $4,365.16 | |
Medica
| Facility | $186.21 | $616.60 | $1,862.09 | |
Midlands
| Professional | $426.58 | $478.63 | $1,737.80 | |
Sanford Health Plan
| Professional | $316.23 | $891.25 | $1,318.26 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |