| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.97 | $2,966.66 | $11,753.48 | |
Medica
| Facility | $622.00 | $782.14 | $1,298.67 | |
Midlands
| Facility | $797.95 | $1,285.00 | $3,711.03 | |
Sanford Health Plan
| Professional | $540.67 | $844.74 | $1,010.46 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |