| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $162.18 | $4,365.16 | |
Medica
| Facility | $218.78 | $288.40 | $467.74 | |
Midlands
| Professional | $371.54 | $398.11 | $398.11 | |
Sanford Health Plan
| Professional | $213.80 | $295.12 | $346.74 | |
Sanford Health Plan
| Professional | AS | $69.18 | $69.18 | $69.18 |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |