| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $402.44 | $402.44 | $3,073.00 | |
Medica
| Facility | $484.14 | $680.12 | $1,088.03 | |
Midlands
| Facility | $741.95 | $1,032.00 | $1,969.98 | |
Sanford Health Plan
| Professional | $496.67 | $676.34 | $771.10 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |