| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $334.74 | $3,073.00 | $5,476.66 | |
Medica
| Facility | $474.16 | $6,281.53 | $13,072.87 | |
Midlands
| Facility | $831.23 | $9,439.64 | $14,254.62 | |
Sanford Health Plan
| Professional | $560.35 | $7,100.18 | $11,384.68 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |