| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $199.53 | $4,365.16 | |
Medica
| Facility | $223.87 | $302.00 | $512.86 | |
Midlands
| Professional | $398.11 | $416.87 | $467.74 | |
Sanford Health Plan
| Professional | $251.19 | $346.74 | $407.38 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |