| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $138.04 | $4,365.16 | |
Medica
| Facility | $123.03 | $186.21 | $245.47 | |
Midlands
| Professional | $194.98 | $213.80 | $338.84 | |
Sanford Health Plan
| Professional | $141.25 | $194.98 | $263.03 | |
United
| Facility | $1,659.59 | $1,659.59 | $1,659.59 |