| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.38 | $407.38 | $4,365.16 | |
Medica
| Facility | $489.78 | $645.65 | $1,047.13 | |
Midlands
| Professional | $851.14 | $851.14 | $870.96 | |
Sanford Health Plan
| Professional | $457.09 | $660.69 | $758.58 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |