| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $365.04 | $6,406.52 | $13,770.73 | |
Medica
| Facility | $470.03 | $693.31 | $2,004.81 | |
Midlands
| Facility | $743.00 | $1,017.83 | $4,555.17 | |
Sanford Health Plan
| Professional | $490.42 | $655.04 | $750.40 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |