| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $537.03 | $4,365.16 | $7,762.47 | |
Medica
| Facility | $416.87 | $776.25 | $1,949.84 | |
Midlands
| Professional | $724.44 | $758.58 | $1,096.48 | |
Sanford Health Plan
| Professional | $501.19 | $912.01 | $1,096.48 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |