| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.09 | $3,548.13 | $4,365.16 | |
Medica
| Facility | $562.34 | $776.25 | $1,148.15 | |
Midlands
| Professional | $912.01 | $1,023.29 | $1,023.29 | |
Sanford Health Plan
| Professional | $489.78 | $741.31 | $912.01 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |