| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $678.66 | $678.66 | $3,511.00 | |
Medica
| Facility | $888.13 | $1,167.18 | $1,757.19 | |
Midlands
| Facility | $1,089.00 | $1,789.70 | $11,408.92 | |
Sanford Health Plan
| Professional | $828.94 | $1,139.69 | $1,342.32 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |