| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $657.91 | $657.91 | $7,857.02 | |
Medica
| Facility | $878.25 | $1,111.86 | $1,946.95 | |
Midlands
| Facility | $1,279.00 | $2,040.11 | $5,090.60 | |
Sanford Health Plan
| Professional | $929.15 | $1,287.32 | $1,514.39 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |