| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $439.66 | $439.66 | $3,511.00 | |
Medica
| Facility | $576.09 | $743.03 | $1,165.90 | |
Midlands
| Facility | $813.72 | $1,089.00 | $3,711.03 | |
Sanford Health Plan
| Professional | $500.12 | $748.46 | $865.55 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |