| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $247.26 | $247.26 | $3,511.00 | |
Medica
| Facility | $288.47 | $417.87 | $647.04 | |
Midlands
| Facility | $432.00 | $624.70 | $2,860.34 | |
Sanford Health Plan
| Professional | $298.83 | $407.88 | $467.06 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |