| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $390.67 | $390.67 | $3,511.00 | |
Medica
| Facility | $361.78 | $602.16 | $1,000.17 | |
Midlands
| Facility | $802.76 | $885.30 | $19,833.68 | |
Sanford Health Plan
| Professional | $470.10 | $625.84 | $713.53 | |
United
| Facility | $6,571.00 | $6,571.00 | $6,571.00 |