| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $3,090.30 | $4,365.16 | |
Medica
| Facility | $117.49 | $218.78 | $457.09 | |
Midlands
| Professional | $309.03 | $331.13 | $346.74 | |
Sanford Health Plan
| Professional | $181.97 | $234.42 | $275.42 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |