| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.13 | $3,548.13 | $4,365.16 | |
Medica
| Facility | $446.68 | $562.34 | $870.96 | |
Midlands
| Professional | $707.95 | $707.95 | $724.44 | |
Sanford Health Plan
| Professional | $436.52 | $562.34 | $616.60 | |
United
| Facility | $6,606.93 | $6,606.93 | $6,606.93 |