| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $710.09 | $1,024.30 | $1,024.30 | |
Medica
| Facility | $866.50 | $1,101.46 | $1,870.67 | |
Midlands
| Facility | $1,089.00 | $1,765.15 | $8,250.46 | |
Sanford Health Plan
| Professional | $803.94 | $1,198.69 | $1,407.65 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |