| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $481.08 | $481.08 | $3,511.00 | |
Medica
| Facility | $639.29 | $813.03 | $1,483.28 | |
Midlands
| Facility | $925.00 | $1,392.08 | $21,077.77 | |
Sanford Health Plan
| Professional | $663.41 | $883.14 | $1,038.92 | |
United
| Facility | $6,571.00 | $6,571.00 | $6,571.00 |