| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $538.08 | $538.08 | $3,511.00 | |
Medica
| Facility | $697.82 | $884.31 | $1,372.69 | |
Midlands
| Facility | $991.21 | $1,322.47 | $3,711.03 | |
Sanford Health Plan
| Professional | $649.16 | $892.52 | $1,068.03 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |