| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $628.30 | $628.30 | $3,511.00 | |
Medica
| Facility | $805.88 | $1,033.00 | $1,621.42 | |
Midlands
| Facility | $1,158.32 | $1,652.36 | $11,438.81 | |
Sanford Health Plan
| Professional | $673.77 | $1,055.92 | $1,247.86 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |