| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $659.34 | $659.34 | $3,511.00 | |
Medica
| Facility | $862.38 | $1,135.51 | $1,703.13 | |
Midlands
| Facility | $1,089.00 | $1,734.94 | $8,250.46 | |
Sanford Health Plan
| Professional | $805.34 | $1,107.24 | $1,307.38 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |