| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $741.31 | $4,365.16 | |
Medica
| Facility | $870.96 | $1,023.29 | $1,995.26 | |
Midlands
| Professional | $1,584.89 | $1,621.81 | $1,698.24 | |
Sanford Health Plan
| Professional | $977.24 | $1,318.26 | $1,445.44 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |