| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $474.51 | $474.51 | $4,338.00 | |
Medica
| Facility | $577.05 | $801.92 | $1,206.68 | |
Midlands
| Facility | $801.00 | $1,078.89 | $11,112.17 | |
Sanford Health Plan
| Professional | $568.69 | $764.29 | $871.37 | |
United
| Facility | $6,571.00 | $6,571.00 | $6,571.00 |