| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $709.01 | $709.01 | $709.01 | |
Medica
| Facility | $840.14 | $1,198.23 | $1,864.49 | |
Midlands
| Facility | $1,063.25 | $1,733.30 | $2,180.58 | |
Sanford Health Plan
| Professional | $877.26 | $1,179.54 | $1,387.60 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |