| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $590.80 | $590.80 | $3,073.00 | |
Medica
| Facility | $771.87 | $1,014.39 | $1,515.39 | |
Midlands
| Facility | $953.00 | $1,552.91 | $8,250.46 | |
Sanford Health Plan
| Professional | $716.52 | $985.13 | $1,176.71 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |