| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $622.53 | $622.53 | $4,338.00 | |
Medica
| Facility | $607.33 | $972.29 | $1,576.38 | |
Midlands
| Facility | $1,188.10 | $1,333.64 | $1,581.39 | |
Sanford Health Plan
| Professional | $799.20 | $1,046.84 | $1,193.53 | |
United
| Facility | $6,571.00 | $6,571.00 | $6,571.00 |