| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $499.99 | $3,773.51 | $6,059.39 | |
Medica
| Facility | $713.70 | $968.15 | $1,569.66 | |
Midlands
| Facility | $1,045.29 | $1,550.41 | $3,711.03 | |
Sanford Health Plan
| Professional | $662.71 | $976.82 | $1,299.61 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |