| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $557.11 | $557.11 | $3,073.00 | |
Medica
| Facility | $638.59 | $828.67 | $1,417.96 | |
Midlands
| Facility | $827.48 | $1,363.36 | $3,711.03 | |
Sanford Health Plan
| Professional | $589.58 | $922.01 | $1,101.02 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |