| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $250.22 | $250.22 | $3,073.00 | |
Medica
| Facility | $291.93 | $422.87 | $681.08 | |
Midlands
| Facility | $443.00 | $648.92 | $4,395.05 | |
Sanford Health Plan
| Professional | $311.81 | $410.80 | $468.36 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |