| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.78 | $218.78 | $4,365.16 | |
Medica
| Facility | $275.42 | $323.59 | $588.84 | |
Midlands
| Professional | $446.68 | $501.19 | $537.03 | |
Sanford Health Plan
| Professional | $316.23 | $416.87 | $489.78 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |