| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $297.81 | $297.81 | $3,511.00 | |
Medica
| Facility | $350.54 | $503.30 | $810.36 | |
Midlands
| Facility | $461.21 | $727.17 | $941.67 | |
Sanford Health Plan
| Professional | $384.90 | $518.04 | $590.62 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |