| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $616.60 | $4,365.16 | |
Medica
| Facility | $812.83 | $1,047.13 | $1,584.89 | |
Midlands
| Professional | $1,288.25 | $1,412.54 | $1,412.54 | |
Sanford Health Plan
| Professional | $691.83 | $1,047.13 | $1,230.27 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |