| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.23 | $446.68 | $4,365.16 | |
Medica
| Facility | $389.05 | $588.84 | $1,122.02 | |
Midlands
| Professional | $724.44 | $741.31 | $1,000.00 | |
Sanford Health Plan
| Professional | $478.63 | $707.95 | $870.96 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |