| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $461.58 | $461.58 | $3,073.00 | |
Medica
| Facility | $558.66 | $777.82 | $1,144.51 | |
Midlands
| Facility | $846.17 | $1,125.96 | $3,711.03 | |
Sanford Health Plan
| Professional | $485.83 | $745.63 | $905.66 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |