| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.65 | $3,630.78 | $11,481.54 | |
Medica
| Facility | $812.83 | $1,096.48 | $2,818.38 | |
Midlands
| Professional | $1,348.96 | $1,479.11 | $1,479.11 | |
Sanford Health Plan
| Professional | $812.83 | $1,096.48 | $1,288.25 | |
United
| Facility | $5,370.32 | $5,370.32 | $5,370.32 |