| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.87 | $223.87 | $223.87 | |
Medica
| Facility | $281.84 | $371.54 | $676.08 | |
Midlands
| Professional | $524.81 | $537.03 | $549.54 | |
Sanford Health Plan
| Professional | $309.03 | $446.68 | $489.78 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |