| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.83 | $151.36 | $4,365.16 | |
Medica
| Facility | $181.97 | $239.88 | $398.11 | |
Midlands
| Professional | $309.03 | $331.13 | $363.08 | |
Sanford Health Plan
| Professional | $204.17 | $263.03 | $309.03 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |