| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.54 | $3,090.30 | $4,365.16 | |
Medica
| Facility | $457.09 | $537.03 | $1,047.13 | |
Midlands
| Professional | $812.83 | $851.14 | $891.25 | |
Sanford Health Plan
| Professional | $457.09 | $691.83 | $794.33 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |