| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.42 | $3,090.30 | $4,365.16 | |
Medica
| Facility | $251.19 | $436.52 | $851.14 | |
Midlands
| Professional | $645.65 | $707.95 | $724.44 | |
Sanford Health Plan
| Professional | $380.19 | $478.63 | $575.44 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |