| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.93 | $3,090.30 | $4,365.16 | |
Medica
| Facility | $190.55 | $316.23 | $645.65 | |
Midlands
| Professional | $489.78 | $537.03 | $549.54 | |
Sanford Health Plan
| Professional | $281.84 | $371.54 | $436.52 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |