| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $213.80 | $4,365.16 | |
Medica
| Facility | $190.55 | $346.74 | $676.08 | |
Midlands
| Professional | $524.81 | $537.03 | $575.44 | |
Sanford Health Plan
| Professional | $281.84 | $389.05 | $467.74 | |
United
| Facility | $4,466.84 | $4,466.84 | $4,466.84 |