| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $612.96 | $612.96 | $612.96 | |
Medica
| Facility | $808.21 | $1,035.95 | $1,611.30 | |
Midlands
| Facility | $1,148.78 | $1,531.39 | $20,006.28 | |
Sanford Health Plan
| Professional | $750.85 | $1,032.71 | $1,214.88 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |