| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $370.08 | $2,316.58 | $2,316.58 | |
Medica
| Facility | $546.63 | $2,682.95 | $4,825.18 | |
Midlands
| Facility | $843.21 | $3,655.14 | $6,504.09 | |
Sanford Health Plan
| Professional | $569.15 | $2,769.73 | $3,755.12 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |