| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.40 | $288.40 | $4,365.16 | |
Medica
| Facility | $398.11 | $512.86 | $891.25 | |
Midlands
| Professional | $691.83 | $707.95 | $724.44 | |
Sanford Health Plan
| Professional | $380.19 | $562.34 | $645.65 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |