| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $495.73 | $495.73 | $4,338.00 | |
Medica
| Facility | $604.49 | $837.78 | $1,284.57 | |
Midlands
| Facility | $934.00 | $1,170.58 | $11,383.89 | |
Sanford Health Plan
| Professional | $604.16 | $804.01 | $916.66 | |
United
| Facility | $6,571.00 | $6,571.00 | $6,571.00 |