| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $339.09 | $575.61 | $8,547.04 | |
Medica
| Facility | $482.36 | $782.05 | $1,310.16 | |
Midlands
| Facility | $758.36 | $1,195.08 | $1,706.95 | |
Sanford Health Plan
| Professional | $502.56 | $718.33 | $1,088.08 | |
United
| Facility | $1,643.00 | $1,643.00 | $1,643.00 |