| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $676.08 | $4,365.16 | |
Medica
| Facility | $891.25 | $1,122.02 | $1,737.80 | |
Midlands
| Professional | $1,380.38 | $1,513.56 | $1,513.56 | |
Sanford Health Plan
| Professional | $758.58 | $1,122.02 | $1,348.96 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |