| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $573.64 | $573.64 | $3,073.00 | |
Medica
| Facility | $725.27 | $913.82 | $1,376.69 | |
Midlands
| Facility | $953.00 | $1,432.93 | $8,250.46 | |
Sanford Health Plan
| Professional | $642.98 | $894.29 | $1,175.42 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |