| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $511.87 | $511.87 | $3,511.00 | |
Medica
| Facility | $611.27 | $845.35 | $1,101.89 | |
Midlands
| Facility | $884.67 | $1,149.19 | $3,711.03 | |
Sanford Health Plan
| Professional | $504.58 | $718.50 | $958.71 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |