| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.09 | $3,548.13 | $4,365.16 | |
Medica
| Facility | $323.59 | $616.60 | $1,202.26 | |
Midlands
| Professional | $933.25 | $1,000.00 | $1,000.00 | |
Sanford Health Plan
| Professional | $436.52 | $707.95 | $831.76 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |