| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.71 | $206.71 | $3,511.00 | |
Medica
| Facility | $241.10 | $349.34 | $616.85 | |
Midlands
| Facility | $431.00 | $522.38 | $4,395.05 | |
Sanford Health Plan
| Professional | $260.39 | $370.60 | $394.64 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |