| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $485.92 | $2,611.75 | $3,213.95 | |
Medica
| Facility | $588.32 | $819.14 | $1,214.17 | |
Midlands
| Facility | $891.86 | $1,258.33 | $3,711.03 | |
Sanford Health Plan
| Professional | $517.37 | $790.47 | $954.18 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |