| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.54 | $3,090.30 | $4,365.16 | |
Medica
| Facility | $131.83 | $245.47 | $724.44 | |
Midlands
| Professional | $338.84 | $371.54 | $794.33 | |
Sanford Health Plan
| Professional | $213.80 | $295.12 | $575.44 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |