| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.87 | $3,090.30 | $4,365.16 | |
Medica
| Facility | $204.17 | $380.19 | $724.44 | |
Midlands
| Professional | $524.81 | $575.44 | $602.56 | |
Sanford Health Plan
| Professional | $309.03 | $389.05 | $467.74 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |