| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.75 | $257.75 | $3,073.00 | |
Medica
| Facility | $301.32 | $435.60 | $695.50 | |
Midlands
| Facility | $455.00 | $666.89 | $2,860.34 | |
Sanford Health Plan
| Professional | $319.60 | $425.62 | $480.00 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |