| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $443.85 | $4,338.00 | $5,452.92 | |
Medica
| Facility | $517.94 | $4,447.55 | $9,215.43 | |
Midlands
| Facility | $1,067.52 | $10,026.11 | $15,596.18 | |
Sanford Health Plan
| Professional | $621.67 | $5,027.84 | $8,911.69 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |