| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $373.91 | $373.91 | $3,073.00 | |
Medica
| Facility | $485.71 | $631.91 | $932.42 | |
Midlands
| Facility | $687.71 | $953.00 | $2,824.47 | |
Sanford Health Plan
| Professional | $395.80 | $607.60 | $745.23 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |