| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.58 | $426.58 | $4,365.16 | |
Medica
| Facility | $524.81 | $676.08 | $1,122.02 | |
Midlands
| Professional | $912.01 | $912.01 | $954.99 | |
Sanford Health Plan
| Professional | $537.03 | $741.31 | $812.83 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |