| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $591.42 | $591.42 | $4,338.00 | |
Medica
| Facility | $785.60 | $1,034.89 | $1,629.56 | |
Midlands
| Facility | $926.98 | $1,367.53 | $1,901.08 | |
Sanford Health Plan
| Professional | $760.28 | $1,047.83 | $1,215.53 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |