| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $4,365.16 | $6,606.93 | |
Medica
| Facility | $263.03 | $478.63 | $870.96 | |
Midlands
| Professional | $676.08 | $691.83 | $758.58 | |
Sanford Health Plan
| Professional | $346.74 | $501.19 | $602.56 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |