| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $404.63 | $404.63 | $3,511.00 | |
Medica
| Facility | $489.37 | $653.24 | $1,078.75 | |
Midlands
| Facility | $748.60 | $1,093.21 | $2,824.47 | |
Sanford Health Plan
| Professional | $511.44 | $691.60 | $809.92 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |