| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $445.00 | $687.57 | $3,511.00 | |
Medica
| Facility | $621.26 | $830.62 | $1,580.08 | |
Midlands
| Facility | $949.42 | $1,440.38 | $3,711.03 | |
Sanford Health Plan
| Professional | $648.69 | $870.08 | $1,289.27 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |