| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $354.77 | $354.77 | $3,511.00 | |
Medica
| Facility | $440.00 | $599.55 | $882.82 | |
Midlands
| Facility | $650.16 | $913.86 | $1,969.98 | |
Sanford Health Plan
| Professional | $392.19 | $575.15 | $696.71 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |