| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $3,548.13 | $4,365.16 | |
Medica
| Facility | $501.19 | $707.95 | $1,047.13 | |
Midlands
| Professional | $831.76 | $933.25 | $933.25 | |
Sanford Health Plan
| Professional | $446.68 | $691.83 | $812.83 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |