| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $2,290.87 | $4,365.16 | |
Medica
| Facility | $128.82 | $218.78 | $446.68 | |
Midlands
| Professional | $331.13 | $363.08 | $380.19 | |
Sanford Health Plan
| Professional | $177.83 | $251.19 | $295.12 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |