| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.88 | $3,090.30 | $4,365.16 | |
Medica
| Facility | $213.80 | $398.11 | $776.25 | |
Midlands
| Professional | $549.54 | $602.56 | $630.96 | |
Sanford Health Plan
| Professional | $323.59 | $407.38 | $501.19 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |