| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $344.59 | $344.59 | $3,511.00 | |
Medica
| Facility | $428.25 | $582.78 | $944.23 | |
Midlands
| Facility | $654.50 | $885.86 | $3,711.03 | |
Sanford Health Plan
| Professional | $413.27 | $598.19 | $684.42 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |