| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $387.46 | $3,511.00 | $4,239.72 | |
Medica
| Facility | $500.86 | $3,645.44 | $11,984.91 | |
Midlands
| Facility | $1,019.38 | $7,178.16 | $11,811.01 | |
Sanford Health Plan
| Professional | $596.61 | $5,103.43 | $7,652.18 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |