| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.25 | $776.25 | $4,365.16 | |
Medica
| Facility | $912.01 | $1,258.93 | $1,905.46 | |
Midlands
| Professional | $1,445.44 | $1,584.89 | $1,621.81 | |
Sanford Health Plan
| Professional | $758.58 | $1,174.90 | $1,445.44 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |