| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $9,772.37 | $9,772.37 | |
Medica
| Facility | $616.60 | $724.44 | $1,380.38 | |
Midlands
| Professional | $1,096.48 | $1,148.15 | $1,202.26 | |
Sanford Health Plan
| Professional | $588.84 | $912.01 | $1,071.52 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |