| 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 | $1,047.13 | |
Midlands
| Professional | $831.76 | $912.01 | $912.01 | |
Sanford Health Plan
| Professional | $446.68 | $676.08 | $812.83 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |