| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.32 | $2,612.15 | $9,884.49 | |
Medica
| Facility | $238.35 | $438.68 | $826.63 | |
Midlands
| Facility | $411.14 | $637.61 | $2,197.38 | |
Sanford Health Plan
| Professional | $306.52 | $407.43 | $674.72 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |