| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.74 | $4,365.16 | $4,897.79 | |
Medica
| Facility | $616.60 | $776.25 | $1,412.54 | |
Midlands
| Professional | $1,047.13 | $1,122.02 | $1,202.26 | |
Sanford Health Plan
| Professional | $676.08 | $870.96 | $1,000.00 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |