| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $322.29 | $322.29 | $3,511.00 | |
Medica
| Facility | $392.25 | $544.66 | $808.46 | |
Midlands
| Facility | $550.00 | $736.86 | $2,383.04 | |
Sanford Health Plan
| Professional | $360.76 | $520.44 | $595.79 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |