| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $2,290.87 | $4,365.16 | |
Medica
| Facility | $371.54 | $512.86 | $831.76 | |
Midlands
| Professional | $630.96 | $741.31 | $741.31 | |
Sanford Health Plan
| Professional | $323.59 | $524.81 | $616.60 | |
United
| Facility | $6,606.93 | $6,606.93 | $6,606.93 |