| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $651.21 | $651.21 | $4,338.00 | |
Medica
| Facility | $635.99 | $1,017.24 | $1,649.26 | |
Midlands
| Facility | $1,243.72 | $1,396.33 | $1,656.95 | |
Sanford Health Plan
| Professional | $836.40 | $1,096.22 | $1,249.81 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |