| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.86 | $363.08 | $4,365.16 | |
Medica
| Facility | $112.20 | $309.03 | $588.84 | |
Midlands
| Professional | $162.18 | $186.21 | $575.44 | |
Sanford Health Plan
| Professional | $123.03 | $354.81 | $645.65 | |
United
| Facility | $812.83 | $812.83 | $812.83 |