| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $572.46 | $572.46 | $4,338.00 | |
Medica
| Facility | $695.75 | $876.54 | $1,395.01 | |
Midlands
| Facility | $1,041.96 | $1,409.65 | $10,640.85 | |
Sanford Health Plan
| Professional | $624.78 | $893.70 | $1,112.02 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |