| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $363.08 | $3,548.13 | $4,365.16 | |
Medica
| Facility | $478.63 | $616.60 | $1,071.52 | |
Midlands
| Professional | $812.83 | $851.14 | $933.25 | |
Sanford Health Plan
| Professional | $524.81 | $660.69 | $758.58 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |