| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $1,023.29 | $4,897.79 | |
Medica
| Facility | $269.15 | $1,258.93 | $2,691.53 | |
Midlands
| Professional | $467.74 | $512.86 | $2,454.71 | |
Sanford Health Plan
| Professional | $354.81 | $1,584.89 | $1,905.46 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |