| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $509.24 | $509.24 | $3,511.00 | |
Medica
| Facility | $627.41 | $777.59 | $1,288.07 | |
Midlands
| Facility | $735.25 | $1,158.66 | $1,583.02 | |
Sanford Health Plan
| Professional | $563.53 | $863.61 | $1,029.85 | |
United
| Facility | $821.00 | $821.00 | $821.00 |