| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.90 | $794.33 | $4,365.16 | |
Medica
| Facility | $144.54 | $691.83 | $1,995.26 | |
Midlands
| Professional | $316.23 | $354.81 | $2,089.30 | |
Sanford Health Plan
| Professional | $234.42 | $1,122.02 | $1,584.89 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |