| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $665.93 | $881.11 | $881.11 | |
Medica
| Facility | $878.64 | $1,175.50 | $2,012.37 | |
Midlands
| Facility | $1,338.57 | $1,852.25 | $11,833.19 | |
Sanford Health Plan
| Professional | $880.39 | $1,283.45 | $1,646.36 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |