| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.19 | $3,019.95 | $5,370.32 | |
Medica
| Facility | $338.84 | $630.96 | $1,318.26 | |
Midlands
| Professional | $891.25 | $977.24 | $1,318.26 | |
Sanford Health Plan
| Professional | $537.03 | $776.25 | $1,047.13 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |