| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $450.71 | $450.71 | $3,073.00 | |
Medica
| Facility | $522.11 | $757.80 | $1,181.55 | |
Midlands
| Facility | $719.00 | $1,149.46 | $2,440.29 | |
Sanford Health Plan
| Professional | $511.43 | $720.60 | $821.56 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |