| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $611.45 | $611.45 | $3,511.00 | |
Medica
| Facility | $799.63 | $1,033.34 | $1,575.22 | |
Midlands
| Facility | $1,089.00 | $1,505.26 | $8,461.12 | |
Sanford Health Plan
| Professional | $743.99 | $1,022.89 | $1,208.41 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |