| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.50 | $2,630.27 | $4,677.35 | |
Medica
| Facility | $87.10 | $162.18 | $302.00 | |
Midlands
| Professional | $234.42 | $245.47 | $257.04 | |
Sanford Health Plan
| Professional | $123.03 | $169.82 | $208.93 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |