| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $604.75 | $604.75 | $3,511.00 | |
Medica
| Facility | $791.38 | $995.53 | $1,593.38 | |
Midlands
| Facility | $1,089.00 | $1,483.24 | $8,250.46 | |
Sanford Health Plan
| Professional | $754.28 | $1,026.10 | $1,207.11 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |