| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $4,365.16 | $28,183.83 | |
Medica
| Facility | $512.86 | $645.65 | $1,096.48 | |
Midlands
| Professional | $870.96 | $870.96 | $912.01 | |
Sanford Health Plan
| Professional | $512.86 | $707.95 | $776.25 | |
United
| Facility | $8,709.64 | $8,709.64 | $8,709.64 |