| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $389.65 | $389.65 | $15,395.84 | |
Medica
| Facility | $472.69 | $658.51 | $997.33 | |
Midlands
| Facility | $676.00 | $911.57 | $8,853.83 | |
Sanford Health Plan
| Professional | $451.47 | $625.27 | $712.88 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |