| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $3,548.13 | $4,365.16 | |
Medica
| Facility | $426.58 | $758.58 | $1,621.81 | |
Midlands
| Professional | $1,230.27 | $1,318.26 | $1,318.26 | |
Sanford Health Plan
| Professional | $588.84 | $954.99 | $1,096.48 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |