| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $647.84 | $647.84 | $3,511.00 | |
Medica
| Facility | $862.36 | $1,094.84 | $1,994.06 | |
Midlands
| Facility | $1,194.00 | $1,873.18 | $33,587.94 | |
Sanford Health Plan
| Professional | $890.02 | $1,189.43 | $1,399.24 | |
United
| Facility | $7,150.00 | $7,150.00 | $7,150.00 |