| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $2,290.87 | $4,365.16 | |
Medica
| Facility | $104.71 | $194.98 | $407.38 | |
Midlands
| Professional | $269.15 | $288.40 | $302.00 | |
Sanford Health Plan
| Professional | $154.88 | $204.17 | $263.03 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |