| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $295.12 | $4,365.16 | |
Medica
| Facility | $72.44 | $190.55 | $562.34 | |
Midlands
| Professional | $138.04 | $181.97 | $724.44 | |
Sanford Health Plan
| Professional | $102.33 | $186.21 | $562.34 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |