| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $797.87 | $797.87 | $17,685.81 | |
Medica
| Facility | $834.19 | $1,261.76 | $1,534.00 | |
Midlands
| Facility | $1,076.08 | $1,861.84 | $35,664.92 | |
Sanford Health Plan
| Professional | $858.31 | $1,178.26 | $1,580.38 | |
Sanford Health Plan
| Professional | AS | $257.25 | $257.25 | $257.25 |
United
| Facility | $6,571.00 | $6,571.00 | $6,571.00 |