| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.58 | $478.63 | $4,365.16 | |
Medica
| Facility | $562.34 | $724.44 | $1,071.52 | |
Midlands
| Professional | $933.25 | $933.25 | $1,047.13 | |
Sanford Health Plan
| Professional | $501.19 | $776.25 | $954.99 | |
United
| Facility | $812.83 | $812.83 | $812.83 |