| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $622.57 | $622.57 | $4,338.00 | |
Medica
| Facility | $811.85 | $1,052.14 | $1,586.26 | |
Midlands
| Facility | $1,146.18 | $1,529.58 | $3,711.03 | |
Sanford Health Plan
| Professional | $752.99 | $1,035.27 | $1,232.99 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |