| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $644.73 | $644.73 | $644.73 | |
Medica
| Facility | $836.77 | $1,062.94 | $1,741.64 | |
Midlands
| Facility | $1,210.17 | $1,616.25 | $8,250.46 | |
Sanford Health Plan
| Professional | $763.07 | $1,117.47 | $1,306.74 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |