| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $1,862.09 | $4,365.16 | |
Medica
| Facility | $165.96 | $281.84 | $831.76 | |
Midlands
| Professional | $467.74 | $467.74 | $489.78 | |
Sanford Health Plan
| Professional | $229.09 | $323.59 | $380.19 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |