| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.03 | $1,568.87 | $1,568.87 | |
Medica
| Facility | $137.86 | $1,267.56 | $3,543.37 | |
Midlands
| Facility | $229.98 | $2,368.00 | $4,887.64 | |
Sanford Health Plan
| Professional | $157.27 | $1,793.44 | $2,541.02 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |