| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $459.41 | $459.41 | $3,511.00 | |
Medica
| Facility | $599.97 | $755.18 | $1,189.43 | |
Midlands
| Facility | $849.89 | $1,132.86 | $3,711.03 | |
Sanford Health Plan
| Professional | $560.24 | $776.31 | $914.72 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |