| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.99 | $524.99 | $3,511.00 | |
Aetna
| Facility | 53 | $105.00 | $105.00 | $105.00 |
Medica
| Facility | $643.90 | $887.23 | $1,346.45 | |
Midlands
| Facility | $884.00 | $1,204.06 | $11,454.96 | |
Sanford Health Plan
| Professional | $625.23 | $853.37 | $972.94 | |
United
| Facility | $7,150.00 | $7,150.00 | $7,150.00 |