| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $333.45 | $2,648.31 | $8,411.36 | |
Medica
| Facility | $431.85 | $563.53 | $827.83 | |
Midlands
| Facility | $612.66 | $858.83 | $1,969.98 | |
Sanford Health Plan
| Professional | $387.32 | $539.76 | $657.25 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |