| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $371.54 | $4,365.16 | |
Medica
| Facility | $208.93 | $446.68 | $977.24 | |
Midlands
| Professional | $436.52 | $478.63 | $954.99 | |
Sanford Health Plan
| Professional | $323.59 | $524.81 | $758.58 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |