| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $354.81 | $3,090.30 | $4,365.16 | |
Medica
| Facility | $467.74 | $575.44 | $1,071.52 | |
Midlands
| Professional | $812.83 | $851.14 | $912.01 | |
Sanford Health Plan
| Professional | $512.86 | $660.69 | $758.58 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |