| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $530.71 | $530.71 | $3,073.00 | |
Medica
| Facility | $563.42 | $761.91 | $1,390.77 | |
Midlands
| Facility | $786.30 | $1,359.77 | $5,090.60 | |
Sanford Health Plan
| Professional | $572.94 | $872.14 | $1,025.98 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |