| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $685.35 | $685.35 | $2,290.00 | |
Medica
| Facility | $764.47 | $1,076.82 | $1,721.88 | |
Midlands
| Facility | $1,088.92 | $1,640.92 | $7,260.61 | |
Sanford Health Plan
| Professional | $836.66 | $1,221.03 | $1,472.99 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |