| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $373.64 | $3,511.00 | $4,931.85 | |
Medica
| Facility | $492.71 | $1,492.63 | $11,111.90 | |
Midlands
| Facility | $859.93 | $5,266.71 | $12,014.12 | |
Sanford Health Plan
| Professional | $582.34 | $5,871.64 | $9,006.70 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |