| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $616.60 | $4,365.16 | |
Medica
| Facility | $812.83 | $1,047.13 | $1,621.81 | |
Midlands
| Professional | $1,258.93 | $1,412.54 | $1,412.54 | |
Sanford Health Plan
| Professional | $741.31 | $1,047.13 | $1,202.26 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |