| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $792.64 | $792.64 | $792.64 | |
Medica
| Facility | $1,036.89 | $1,339.56 | $2,045.03 | |
Midlands
| Facility | $1,285.00 | $1,971.01 | $10,939.11 | |
Sanford Health Plan
| Professional | $967.96 | $1,336.26 | $1,571.97 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |