| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $635.53 | $635.53 | $3,511.00 | |
Medica
| Facility | $790.10 | $1,015.38 | $1,739.06 | |
Midlands
| Facility | $1,089.00 | $1,632.90 | $10,106.53 | |
Sanford Health Plan
| Professional | $829.90 | $1,176.26 | $1,423.18 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |