| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $426.58 | $4,365.16 | |
Medica
| Facility | $218.78 | $489.78 | $1,071.52 | |
Midlands
| Professional | $489.78 | $549.54 | $1,071.52 | |
Sanford Health Plan
| Professional | $363.08 | $602.56 | $831.76 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |