| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $400.91 | $603.64 | $3,547.68 | |
Medica
| Facility | $569.51 | $843.77 | $1,368.00 | |
Midlands
| Facility | $903.03 | $1,342.08 | $2,824.47 | |
Sanford Health Plan
| Professional | $580.54 | $798.27 | $1,149.54 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |