| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $383.34 | $383.34 | $46,840.42 | |
Medica
| Facility | $515.49 | $657.94 | $1,055.68 | |
Midlands
| Facility | $728.56 | $984.99 | $10,073.32 | |
Sanford Health Plan
| Professional | $496.13 | $673.61 | $785.34 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |