| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.11 | $549.54 | $4,365.16 | |
Medica
| Facility | $363.08 | $602.56 | $1,318.26 | |
Midlands
| Professional | $954.99 | $1,047.13 | $1,380.38 | |
Sanford Health Plan
| Professional | $562.34 | $831.76 | $1,096.48 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |