| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.86 | $1,122.02 | $4,365.16 | |
Medica
| Facility | $91.20 | $128.82 | $323.59 | |
Midlands
| Professional | $134.90 | $190.55 | $190.55 | |
Sanford Health Plan
| Professional | $97.72 | $134.90 | $208.93 | |
United
| Facility | $1,659.59 | $1,659.59 | $1,659.59 |