| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $870.96 | $4,365.16 | |
Medica
| Facility | $870.96 | $1,230.27 | $1,995.26 | |
Midlands
| Professional | $1,445.44 | $1,513.56 | $1,995.26 | |
Sanford Health Plan
| Professional | $954.99 | $1,288.25 | $1,659.59 | |
United
| Facility | $5,370.32 | $5,370.32 | $5,370.32 |