| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $410.71 | $410.71 | $2,290.00 | |
Medica
| Facility | $510.73 | $674.39 | $1,026.29 | |
Midlands
| Facility | $646.00 | $1,011.07 | $2,824.47 | |
Sanford Health Plan
| Professional | $435.11 | $671.90 | $819.62 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |