| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.81 | $524.81 | $4,365.16 | |
Medica
| Facility | $707.95 | $891.25 | $1,445.44 | |
Midlands
| Professional | $1,122.02 | $1,230.27 | $1,230.27 | |
Sanford Health Plan
| Professional | $660.69 | $891.25 | $1,023.29 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |