| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $228.02 | $228.02 | $3,073.00 | |
Medica
| Facility | $267.27 | $385.35 | $618.38 | |
Midlands
| Facility | $406.00 | $594.16 | $4,395.05 | |
Sanford Health Plan
| Professional | $284.57 | $378.46 | $431.48 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |