| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $580.99 | $580.99 | $3,511.00 | |
Medica
| Facility | $740.98 | $975.75 | $1,504.05 | |
Midlands
| Facility | $1,073.90 | $1,432.50 | $11,418.18 | |
Sanford Health Plan
| Professional | $712.67 | $979.82 | $1,174.11 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |