| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $375.67 | $375.67 | $3,511.00 | |
Medica
| Facility | $347.08 | $578.13 | $971.06 | |
Midlands
| Facility | $770.02 | $849.76 | $20,230.16 | |
Sanford Health Plan
| Professional | $451.50 | $600.30 | $684.42 | |
United
| Facility | $6,571.00 | $6,571.00 | $6,571.00 |