| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $672.00 | $672.00 | $3,511.00 | |
Medica
| Facility | $888.66 | $1,141.56 | $1,760.94 | |
Midlands
| Facility | $1,089.00 | $1,679.86 | $11,450.21 | |
Sanford Health Plan
| Professional | $808.51 | $1,126.20 | $1,324.85 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |