| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $724.44 | $4,365.16 | |
Medica
| Facility | $891.25 | $1,148.15 | $1,862.09 | |
Midlands
| Professional | $1,513.56 | $1,513.56 | $1,584.89 | |
Sanford Health Plan
| Professional | $870.96 | $1,202.26 | $1,348.96 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |