| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $515.66 | $515.66 | $4,338.00 | |
Medica
| Facility | $530.79 | $912.79 | $1,542.24 | |
Midlands
| Facility | $854.87 | $1,334.36 | $6,855.77 | |
Sanford Health Plan
| Professional | $666.52 | $924.29 | $1,053.80 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |