| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $349.97 | $349.97 | $3,511.00 | |
Medica
| Facility | $425.65 | $591.45 | $907.61 | |
Midlands
| Facility | $686.00 | $887.67 | $11,318.76 | |
Sanford Health Plan
| Professional | $421.22 | $567.97 | $647.54 | |
United
| Facility | $6,571.00 | $6,571.00 | $6,571.00 |