| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $662.24 | $662.24 | $4,338.00 | |
Medica
| Facility | $882.41 | $1,076.21 | $1,890.14 | |
Midlands
| Facility | $1,429.00 | $1,934.22 | $8,568.00 | |
Sanford Health Plan
| Professional | $880.08 | $1,211.43 | $1,425.12 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |