| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.43 | $234.42 | $4,365.16 | |
Medica
| Facility | $120.23 | $245.47 | $416.87 | |
Midlands
| Professional | $186.21 | $199.53 | $416.87 | |
Sanford Health Plan
| Professional | $131.83 | $239.88 | $426.58 | |
United
| Facility | $1,659.59 | $1,659.59 | $1,659.59 |