| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $705.03 | $705.03 | $4,338.00 | |
Medica
| Facility | $844.60 | $1,191.50 | $1,969.19 | |
Midlands
| Facility | $1,206.00 | $1,911.78 | $5,269.25 | |
Sanford Health Plan
| Professional | $891.76 | $1,211.40 | $1,381.13 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |