| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $436.52 | $616.60 | $4,365.16 | |
Medica
| Facility | $616.60 | $933.25 | $1,412.54 | |
Midlands
| Professional | $954.99 | $1,023.29 | $1,412.54 | |
Sanford Health Plan
| Professional | $691.83 | $870.96 | $1,174.90 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |