| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $247.46 | $247.46 | $3,073.00 | |
Medica
| Facility | $298.13 | $418.21 | $632.12 | |
Midlands
| Facility | $445.00 | $595.96 | $8,259.33 | |
Sanford Health Plan
| Professional | $259.75 | $393.78 | $448.95 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |