| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $415.19 | $4,338.00 | $6,020.60 | |
Medica
| Facility | $533.47 | $5,100.55 | $16,973.41 | |
Midlands
| Facility | $1,082.13 | $11,535.93 | $17,244.84 | |
Sanford Health Plan
| Professional | $736.32 | $8,301.91 | $12,503.89 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |