| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $757.14 | $757.14 | $3,073.00 | |
Medica
| Facility | $788.08 | $1,135.25 | $1,977.81 | |
Midlands
| Facility | $1,159.00 | $1,914.26 | $5,269.25 | |
Sanford Health Plan
| Professional | $851.93 | $1,214.24 | $1,384.37 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |