| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.74 | $524.81 | $4,365.16 | |
Medica
| Facility | $489.78 | $758.58 | $1,202.26 | |
Midlands
| Professional | $776.25 | $831.76 | $1,230.27 | |
Sanford Health Plan
| Professional | $537.03 | $741.31 | $1,000.00 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |