| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,511.89 | $3,715.35 | $5,495.41 | |
Medica
| Facility | $162.18 | $309.03 | $891.25 | |
Midlands
| Professional | $416.87 | $457.09 | $478.63 | |
Sanford Health Plan
| Professional | $245.47 | $309.03 | $371.54 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |