| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $388.85 | $388.85 | $3,511.00 | |
Medica
| Facility | $361.46 | $657.16 | $8,651.00 | |
Midlands
| Facility | $762.22 | $883.84 | $28,084.32 | |
Sanford Health Plan
| Professional | $467.93 | $625.27 | $712.88 | |
United
| Facility | $8,651.00 | $8,651.00 | $8,651.00 |