| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $607.44 | $607.44 | $4,338.00 | |
Medica
| Facility | $609.13 | $864.57 | $1,710.53 | |
Midlands
| Facility | $1,017.98 | $1,875.02 | $23,899.85 | |
Sanford Health Plan
| Professional | $851.20 | $1,060.47 | $1,209.06 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |