| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.98 | $16.98 | $4,365.16 | |
Medica
| Facility | $15.85 | $31.62 | $70.79 | |
Midlands
| Professional | $41.69 | $45.71 | $46.77 | |
Sanford Health Plan
| Professional | $23.99 | $31.62 | $40.74 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |