| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $219.12 | $219.12 | $3,073.00 | |
Medica
| Facility | $256.56 | $370.31 | $596.64 | |
Midlands
| Facility | $400.00 | $571.74 | $6,649.10 | |
Sanford Health Plan
| Professional | $274.62 | $363.14 | $414.02 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |