| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.88 | $3,090.30 | $4,365.16 | |
Medica
| Facility | $77.62 | $100.00 | $173.78 | |
Midlands
| Professional | $131.83 | $138.04 | $151.36 | |
Sanford Health Plan
| Professional | $85.11 | $107.15 | $123.03 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |