| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.03 | $263.03 | $263.03 | |
Medica
| Facility | $331.13 | $389.05 | $812.83 | |
Midlands
| Professional | $630.96 | $645.65 | $660.69 | |
Sanford Health Plan
| Professional | $389.05 | $537.03 | $588.84 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |