| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $431.74 | $3,891.68 | $3,891.68 | |
Medica
| Facility | $551.77 | $3,442.75 | $9,411.79 | |
Midlands
| Facility | $1,118.72 | $8,995.45 | $12,243.51 | |
Sanford Health Plan
| Professional | $742.91 | $5,427.06 | $7,639.49 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |