| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.53 | $416.53 | $3,511.00 | |
Medica
| Facility | $389.11 | $647.16 | $1,083.99 | |
Midlands
| Facility | $863.17 | $952.51 | $37,214.19 | |
Sanford Health Plan
| Professional | $503.83 | $672.94 | $767.22 | |
United
| Facility | $8,651.00 | $8,651.00 | $8,651.00 |