| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $394.96 | $394.96 | $3,511.00 | |
Medica
| Facility | $520.35 | $667.48 | $1,081.97 | |
Midlands
| Facility | $728.46 | $1,068.98 | $3,711.03 | |
Sanford Health Plan
| Professional | $498.70 | $691.66 | $788.57 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |