| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.38 | $575.44 | $4,365.16 | |
Medica
| Facility | $501.19 | $831.76 | $1,318.26 | |
Midlands
| Professional | $891.25 | $933.25 | $1,318.26 | |
Sanford Health Plan
| Professional | $588.84 | $831.76 | $1,096.48 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |