| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.38 | $3,548.13 | $4,365.16 | |
Medica
| Facility | $537.03 | $691.83 | $1,096.48 | |
Midlands
| Professional | $870.96 | $954.99 | $954.99 | |
Sanford Health Plan
| Professional | $489.78 | $707.95 | $851.14 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |