| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.58 | $2,290.87 | $4,365.16 | |
Medica
| Facility | $549.54 | $707.95 | $1,096.48 | |
Midlands
| Professional | $870.96 | $954.99 | $954.99 | |
Sanford Health Plan
| Professional | $467.74 | $707.95 | $831.76 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |