| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $363.08 | $537.03 | $4,365.16 | |
Medica
| Facility | $512.86 | $794.33 | $1,230.27 | |
Midlands
| Professional | $812.83 | $831.76 | $1,230.27 | |
Sanford Health Plan
| Professional | $588.84 | $776.25 | $1,023.29 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |