| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.58 | $426.58 | $4,365.16 | |
Medica
| Facility | $537.03 | $660.69 | $1,071.52 | |
Midlands
| Professional | $912.01 | $912.01 | $954.99 | |
Sanford Health Plan
| Professional | $549.54 | $741.31 | $794.33 | |
Sanford Health Plan
| Professional | 80 | $162.18 | $162.18 | $162.18 |
United
| Facility | $812.83 | $812.83 | $812.83 |