| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $580.26 | $580.26 | $4,338.00 | |
Medica
| Facility | $566.13 | $906.89 | $1,470.34 | |
Midlands
| Facility | $1,108.06 | $1,243.58 | $1,474.07 | |
Sanford Health Plan
| Professional | $745.14 | $975.93 | $1,112.67 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |