| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.80 | $724.80 | $3,511.00 | |
Medica
| Facility | $876.37 | $1,136.51 | $1,891.49 | |
Midlands
| Facility | $1,248.59 | $1,939.59 | $11,094.30 | |
Sanford Health Plan
| Professional | $894.49 | $1,222.43 | $1,438.06 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |