| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $583.32 | $583.32 | $10,324.79 | |
Medica
| Facility | $706.76 | $897.90 | $1,496.29 | |
Midlands
| Facility | $999.65 | $1,431.58 | $3,711.03 | |
Sanford Health Plan
| Professional | $630.26 | $973.34 | $1,153.42 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |