| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $389.05 | $3,548.13 | $4,365.16 | |
Medica
| Facility | $478.63 | $602.56 | $1,000.00 | |
Midlands
| Professional | $794.33 | $794.33 | $851.14 | |
Sanford Health Plan
| Professional | $478.63 | $645.65 | $707.95 | |
United
| Facility | $6,606.93 | $6,606.93 | $6,606.93 |