| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.81 | $3,548.13 | $4,365.16 | |
Medica
| Facility | $645.65 | $870.96 | $1,348.96 | |
Midlands
| Professional | $1,071.52 | $1,174.90 | $1,174.90 | |
Sanford Health Plan
| Professional | $446.68 | $870.96 | $1,047.13 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |