| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $2,290.87 | $4,365.16 | |
Medica
| Facility | $141.25 | $275.42 | $630.96 | |
Midlands
| Professional | $363.08 | $398.11 | $416.87 | |
Sanford Health Plan
| Professional | $213.80 | $288.40 | $371.54 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |