| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $253.10 | $453.34 | $7,158.01 | |
Medica
| Facility | $360.73 | $584.84 | $1,029.56 | |
Midlands
| Facility | $567.67 | $959.24 | $2,824.47 | |
Sanford Health Plan
| Professional | $376.19 | $559.40 | $852.61 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |