| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $391.17 | $391.17 | $3,073.00 | |
Medica
| Facility | $508.41 | $661.08 | $987.23 | |
Midlands
| Facility | $719.99 | $958.62 | $1,969.98 | |
Sanford Health Plan
| Professional | $466.81 | $641.80 | $771.75 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |