| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $895.47 | $895.47 | $895.47 | |
Medica
| Facility | $1,092.98 | $1,482.98 | $2,410.66 | |
Midlands
| Facility | $1,376.95 | $2,240.04 | $8,461.12 | |
Sanford Health Plan
| Professional | $1,091.17 | $1,524.77 | $1,781.56 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |