| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.11 | $398.11 | $4,365.16 | |
Medica
| Facility | $512.86 | $562.34 | $1,230.27 | |
Midlands
| Professional | $912.01 | $1,000.00 | $1,000.00 | |
Sanford Health Plan
| Professional | $588.84 | $776.25 | $891.25 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |