| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $480.52 | $480.52 | $3,511.00 | |
Medica
| Facility | $627.27 | $812.08 | $1,232.06 | |
Midlands
| Facility | $883.80 | $1,178.99 | $3,711.03 | |
Sanford Health Plan
| Professional | $535.66 | $799.31 | $940.59 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |