| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $810.70 | $810.70 | $4,338.00 | |
Medica
| Facility | $976.27 | $1,310.41 | $2,095.05 | |
Midlands
| Facility | $1,493.19 | $2,108.33 | $6,855.77 | |
Sanford Health Plan
| Professional | $976.96 | $1,326.91 | $1,560.97 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |