| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $381.33 | $381.33 | $3,511.00 | |
Medica
| Facility | $481.73 | $624.57 | $963.15 | |
Midlands
| Facility | $702.21 | $993.59 | $3,711.03 | |
Sanford Health Plan
| Professional | $457.38 | $628.83 | $753.64 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |