| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.68 | $2,290.87 | $4,365.16 | |
Medica
| Facility | $537.03 | $724.44 | $1,071.52 | |
Midlands
| Professional | $851.14 | $954.99 | $954.99 | |
Sanford Health Plan
| Professional | $436.52 | $707.95 | $851.14 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |