| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $676.08 | $4,365.16 | |
Medica
| Facility | $478.63 | $794.33 | $1,737.80 | |
Midlands
| Professional | $1,380.38 | $1,445.44 | $1,445.44 | |
Sanford Health Plan
| Professional | $645.65 | $1,047.13 | $1,230.27 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |