| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $348.43 | $348.43 | $4,338.00 | |
Medica
| Facility | $407.22 | $588.85 | $918.24 | |
Midlands
| Facility | $609.00 | $881.38 | $4,395.05 | |
Sanford Health Plan
| Professional | $424.68 | $577.04 | $657.90 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |