| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.59 | $1,445.44 | $7,585.78 | |
Medica
| Facility | $407.38 | $1,659.59 | $3,235.94 | |
Midlands
| Professional | $724.44 | $812.83 | $3,090.30 | |
Sanford Health Plan
| Professional | $549.54 | $1,819.70 | $2,511.89 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |