| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $578.99 | $578.99 | $3,073.00 | |
Medica
| Facility | $709.03 | $940.09 | $1,700.92 | |
Midlands
| Facility | $1,098.59 | $1,633.51 | $63,074.35 | |
Sanford Health Plan
| Professional | $797.04 | $1,041.18 | $1,187.06 | |
United
| Facility | $8,651.00 | $8,651.00 | $8,651.00 |