| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $688.56 | $688.56 | $4,338.00 | |
Medica
| Facility | $910.60 | $1,149.31 | $1,845.41 | |
Midlands
| Facility | $1,291.46 | $1,720.44 | $23,809.75 | |
Sanford Health Plan
| Professional | $839.59 | $1,157.50 | $1,350.08 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |