| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.74 | $3,548.13 | $4,365.16 | |
Medica
| Facility | $426.58 | $588.84 | $954.99 | |
Midlands
| Professional | $707.95 | $794.33 | $794.33 | |
Sanford Health Plan
| Professional | $416.87 | $575.44 | $691.83 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |