| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $691.83 | $4,365.16 | |
Medica
| Facility | $812.83 | $1,148.15 | $1,819.70 | |
Midlands
| Professional | $1,445.44 | $1,548.82 | $1,584.89 | |
Sanford Health Plan
| Professional | $812.83 | $1,202.26 | $1,380.38 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |