| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $458.61 | $458.61 | $4,338.00 | |
Medica
| Facility | $589.16 | $767.51 | $1,186.58 | |
Midlands
| Facility | $844.00 | $1,209.88 | $3,711.03 | |
Sanford Health Plan
| Professional | $535.96 | $768.76 | $904.37 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |