| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.11 | $3,630.78 | $5,011.87 | |
Medica
| Facility | $363.08 | $676.08 | $1,288.25 | |
Midlands
| Professional | $933.25 | $1,023.29 | $1,047.13 | |
Sanford Health Plan
| Professional | $549.54 | $724.44 | $831.76 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |