| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $594.91 | $594.91 | $4,338.00 | |
Medica
| Facility | $731.72 | $1,005.40 | $1,583.37 | |
Midlands
| Facility | $1,090.00 | $1,467.29 | $4,514.33 | |
Sanford Health Plan
| Professional | $746.00 | $985.01 | $1,123.02 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |