| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.04 | $478.63 | $4,365.16 | |
Medica
| Facility | $354.81 | $630.96 | $1,047.13 | |
Midlands
| Professional | $549.54 | $562.34 | $1,047.13 | |
Sanford Health Plan
| Professional | $467.74 | $616.60 | $977.24 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |