| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $2,290.87 | $4,365.16 | |
Medica
| Facility | $162.18 | $269.15 | $549.54 | |
Midlands
| Professional | $426.58 | $436.52 | $478.63 | |
Sanford Health Plan
| Professional | $229.09 | $316.23 | $380.19 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |