| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.79 | $208.79 | $3,073.00 | |
Medica
| Facility | $244.66 | $289.14 | $601.98 | |
Midlands
| Facility | $435.87 | $543.01 | $6,199.50 | |
Sanford Health Plan
| Professional | $263.81 | $366.79 | $390.08 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |