| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.59 | $2,884.03 | $4,365.16 | |
Medica
| Facility | $436.52 | $3,548.13 | $8,128.31 | |
Midlands
| Professional | $645.65 | $812.83 | $7,413.10 | |
Sanford Health Plan
| Professional | $562.34 | $3,801.89 | $5,248.07 | |
United
| Facility | $5,370.32 | $5,370.32 | $5,370.32 |