| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $353.74 | $353.74 | $3,511.00 | |
Medica
| Facility | $329.62 | $548.29 | $914.46 | |
Midlands
| Facility | $731.43 | $806.02 | $9,635.39 | |
Sanford Health Plan
| Professional | $424.68 | $570.24 | $650.13 | |
United
| Facility | $6,571.00 | $6,571.00 | $6,571.00 |