| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $436.52 | $4,365.16 | $4,897.79 | |
Medica
| Facility | $489.78 | $691.83 | $933.25 | |
Midlands
| Professional | $891.25 | $1,047.13 | $1,047.13 | |
Sanford Health Plan
| Professional | $562.34 | $707.95 | $891.25 | |
United
| Facility | $5,370.32 | $5,370.32 | $5,370.32 |