| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.54 | $562.34 | $4,365.16 | |
Medica
| Facility | $524.81 | $794.33 | $1,258.93 | |
Midlands
| Professional | $812.83 | $831.76 | $1,258.93 | |
Sanford Health Plan
| Professional | $549.54 | $794.33 | $1,023.29 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |