| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $389.84 | $389.84 | $3,073.00 | |
Medica
| Facility | $509.65 | $674.79 | $1,032.72 | |
Midlands
| Facility | $733.96 | $977.74 | $3,711.03 | |
Sanford Health Plan
| Professional | $468.54 | $668.36 | $795.69 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |