| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $611.71 | $611.71 | $2,290.00 | |
Medica
| Facility | $789.37 | $1,033.79 | $1,711.81 | |
Midlands
| Facility | $1,109.00 | $1,683.78 | $4,555.17 | |
Sanford Health Plan
| Professional | $803.10 | $1,067.57 | $1,254.33 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |