| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $209.30 | $1,478.61 | $1,478.61 | |
Medica
| Facility | $277.73 | $1,184.45 | $5,357.00 | |
Midlands
| Facility | $493.35 | $3,074.83 | $4,142.46 | |
Sanford Health Plan
| Professional | $339.29 | $2,012.08 | $4,048.04 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |