| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $378.79 | $1,276.04 | $1,276.04 | |
Medica
| Facility | $497.81 | $1,012.23 | $3,021.48 | |
Midlands
| Facility | $866.98 | $2,270.71 | $3,532.24 | |
Sanford Health Plan
| Professional | $594.44 | $1,504.78 | $2,209.98 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |