| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $424.86 | $3,417.07 | $12,761.09 | |
Medica
| Facility | $536.72 | $830.58 | $1,467.31 | |
Midlands
| Facility | $848.99 | $1,397.38 | $2,197.38 | |
Sanford Health Plan
| Professional | $622.14 | $886.25 | $1,221.34 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |