| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $744.11 | $744.11 | $3,511.00 | |
Medica
| Facility | $975.06 | $1,257.55 | $1,930.37 | |
Midlands
| Facility | $1,115.39 | $1,846.48 | $8,250.46 | |
Sanford Health Plan
| Professional | $913.46 | $1,255.90 | $1,481.40 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |