| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $541.89 | $541.89 | $2,290.00 | |
Medica
| Facility | $658.65 | $893.74 | $1,505.31 | |
Midlands
| Facility | $862.73 | $1,291.83 | $1,814.53 | |
Sanford Health Plan
| Professional | $718.67 | $976.07 | $1,148.25 | |
United
| Facility | $821.00 | $821.00 | $821.00 |