| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $635.39 | $635.39 | $3,073.00 | |
Medica
| Facility | $830.42 | $1,068.17 | $1,634.68 | |
Midlands
| Facility | $953.00 | $1,565.68 | $8,250.46 | |
Sanford Health Plan
| Professional | $775.63 | $1,066.54 | $1,256.93 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |