| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $570.26 | $775.84 | $775.84 | |
Medica
| Facility | $824.80 | $1,115.91 | $1,809.22 | |
Midlands
| Facility | $1,247.35 | $1,678.30 | $8,250.46 | |
Sanford Health Plan
| Professional | $766.87 | $1,123.02 | $1,491.75 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |