| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.15 | $2,290.87 | $4,365.16 | |
Medica
| Facility | $190.55 | $338.84 | $741.31 | |
Midlands
| Professional | $549.54 | $616.60 | $616.60 | |
Sanford Health Plan
| Professional | $281.84 | $436.52 | $489.78 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |