| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $355.67 | $355.67 | $2,290.00 | |
Medica
| Facility | $432.79 | $552.16 | $891.00 | |
Midlands
| Facility | $655.14 | $915.48 | $3,711.03 | |
Sanford Health Plan
| Professional | $386.52 | $579.87 | $705.12 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |