| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $261.47 | $445.05 | $3,150.00 | |
Medica
| Facility | $358.69 | $622.16 | $1,261.39 | |
Midlands
| Facility | $633.70 | $769.00 | $1,220.47 | |
Sanford Health Plan
| Professional | $444.09 | $640.49 | $859.08 | |
United
| Facility | $1,643.00 | $1,643.00 | $1,643.00 |