| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $575.44 | $4,365.16 | |
Medica
| Facility | $776.25 | $912.01 | $1,778.28 | |
Midlands
| Professional | $1,318.26 | $1,412.54 | $1,513.56 | |
Sanford Health Plan
| Professional | $851.14 | $1,071.52 | $1,258.93 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |