| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $698.88 | $698.88 | $4,338.00 | |
Medica
| Facility | $913.81 | $1,205.21 | $1,816.29 | |
Midlands
| Facility | $1,289.36 | $1,721.97 | $8,250.46 | |
Sanford Health Plan
| Professional | $861.97 | $1,183.93 | $1,392.78 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |