| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.15 | $3,715.35 | $3,715.35 | |
Medica
| Facility | $380.19 | $501.19 | $794.33 | |
Midlands
| Professional | $645.65 | $645.65 | $724.44 | |
Sanford Health Plan
| Professional | $371.54 | $575.44 | $691.83 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |