| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $443.87 | $443.87 | $3,511.00 | |
Medica
| Facility | $521.80 | $750.14 | $1,212.59 | |
Midlands
| Facility | $689.59 | $1,084.92 | $1,412.01 | |
Sanford Health Plan
| Professional | $577.34 | $775.64 | $884.31 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |