| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.88 | $457.09 | $4,365.16 | |
Medica
| Facility | $204.17 | $562.34 | $1,202.26 | |
Midlands
| Professional | $363.08 | $389.05 | $1,047.13 | |
Sanford Health Plan
| Professional | $275.42 | $630.96 | $831.76 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |