| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $455.40 | $455.40 | $455.40 | |
Medica
| Facility | $552.64 | $719.45 | $1,167.48 | |
Midlands
| Facility | $717.00 | $1,180.26 | $5,090.60 | |
Sanford Health Plan
| Professional | $547.91 | $759.96 | $894.02 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |