| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $403.29 | $403.29 | $3,073.00 | |
Medica
| Facility | $484.34 | $612.15 | $915.92 | |
Midlands
| Facility | $727.63 | $953.00 | $3,711.03 | |
Sanford Health Plan
| Professional | $399.19 | $595.21 | $778.87 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |