| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $395.58 | $4,338.00 | $6,819.85 | |
Medica
| Facility | $490.66 | $1,082.67 | $15,096.91 | |
Midlands
| Facility | $908.51 | $8,718.99 | $16,460.08 | |
Sanford Health Plan
| Professional | $527.88 | $7,682.67 | $10,589.75 | |
United
| Facility | $6,571.00 | $6,571.00 | $6,571.00 |