| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.19 | $1,148.15 | $4,365.16 | |
Medica
| Facility | $316.23 | $1,380.38 | $2,754.23 | |
Midlands
| Professional | $562.34 | $630.96 | $2,570.40 | |
Sanford Health Plan
| Professional | $426.58 | $1,513.56 | $2,089.30 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |