| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $270.20 | $270.20 | $5,805.60 | |
Medica
| Facility | $356.46 | $463.83 | $750.15 | |
Midlands
| Facility | $500.85 | $710.83 | $3,711.03 | |
Sanford Health Plan
| Professional | $341.41 | $468.67 | $534.34 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |