| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $582.30 | $582.30 | $3,511.00 | |
Medica
| Facility | $773.83 | $984.10 | $1,796.64 | |
Midlands
| Facility | $1,135.00 | $1,692.76 | $3,079.87 | |
Sanford Health Plan
| Professional | $806.56 | $1,069.56 | $1,258.22 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |