| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.87 | $3,090.30 | $4,365.16 | |
Medica
| Facility | $302.00 | $380.19 | $645.65 | |
Midlands
| Professional | $501.19 | $549.54 | $549.54 | |
Sanford Health Plan
| Professional | $295.12 | $398.11 | $467.74 | |
United
| Facility | $812.83 | $812.83 | $812.83 |