| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.03 | $1,584.89 | $3,090.30 | |
Medica
| Facility | $645.65 | $812.83 | $1,230.27 | |
Midlands
| Professional | $1,047.13 | $1,047.13 | $1,174.90 | |
Sanford Health Plan
| Professional | $575.44 | $891.25 | $1,047.13 | |
United
| Facility | $812.83 | $812.83 | $812.83 |