| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $531.32 | $4,197.95 | $7,791.19 | |
Medica
| Facility | $419.12 | $786.48 | $1,399.35 | |
Midlands
| Facility | $727.51 | $1,260.24 | $2,197.38 | |
Sanford Health Plan
| Professional | $560.16 | $786.34 | $1,090.67 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |