| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.28 | $645.65 | $4,365.16 | |
Medica
| Facility | $87.10 | $549.54 | $1,584.89 | |
Midlands
| Professional | $190.55 | $213.80 | $1,621.81 | |
Sanford Health Plan
| Professional | $144.54 | $891.25 | $1,230.27 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |