| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $2,290.87 | $4,365.16 | |
Medica
| Facility | $181.97 | $194.98 | $363.08 | |
Midlands
| Professional | $316.23 | $323.59 | $354.81 | |
Sanford Health Plan
| Professional | $190.55 | $245.47 | $288.40 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |