| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $385.68 | $385.68 | $385.68 | |
Medica
| Facility | $468.00 | $651.79 | $978.23 | |
Midlands
| Facility | $676.00 | $914.06 | $9,268.07 | |
Sanford Health Plan
| Professional | $458.41 | $621.87 | $709.00 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |