| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.38 | $3,090.30 | $4,365.16 | |
Medica
| Facility | $478.63 | $630.96 | $933.25 | |
Midlands
| Professional | $724.44 | $812.83 | $812.83 | |
Sanford Health Plan
| Professional | $380.19 | $588.84 | $776.25 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |