| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $659.97 | $659.97 | $659.97 | |
Medica
| Facility | $850.42 | $1,208.33 | $2,326.65 | |
Midlands
| Facility | $1,500.00 | $2,271.67 | $8,958.90 | |
Sanford Health Plan
| Professional | $967.97 | $1,286.35 | $1,472.39 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |