| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $437.35 | $437.35 | $3,073.00 | |
Medica
| Facility | $528.36 | $732.74 | $1,077.94 | |
Midlands
| Facility | $799.55 | $1,063.52 | $3,711.03 | |
Sanford Health Plan
| Professional | $458.41 | $701.39 | $853.26 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |