| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $781.82 | $781.82 | $3,511.00 | |
Medica
| Facility | $1,029.14 | $1,324.90 | $2,132.17 | |
Midlands
| Facility | $1,216.70 | $1,983.08 | $11,914.34 | |
Sanford Health Plan
| Professional | $985.24 | $1,361.73 | $1,570.03 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |