| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $631.75 | $631.75 | $3,511.00 | |
Medica
| Facility | $773.02 | $1,092.34 | $1,774.77 | |
Midlands
| Facility | $1,089.00 | $1,732.26 | $12,864.04 | |
Sanford Health Plan
| Professional | $818.21 | $1,106.44 | $1,275.69 | |
United
| Facility | $6,000.00 | $6,000.00 | $6,000.00 |