| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.65 | $3,090.30 | $4,365.16 | |
Medica
| Facility | $851.14 | $1,096.48 | $1,698.24 | |
Midlands
| Professional | $1,348.96 | $1,479.11 | $1,479.11 | |
Sanford Health Plan
| Professional | $758.58 | $1,096.48 | $1,288.25 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |