| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $498.88 | $498.88 | $2,290.00 | |
Medica
| Facility | $603.42 | $794.48 | $1,257.79 | |
Midlands
| Facility | $920.06 | $1,301.44 | $3,711.03 | |
Sanford Health Plan
| Professional | $520.78 | $817.01 | $985.23 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |