| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $421.02 | $421.02 | $3,511.00 | |
Medica
| Facility | $391.82 | $650.21 | $1,086.76 | |
Midlands
| Facility | $822.40 | $957.04 | $37,731.50 | |
Sanford Health Plan
| Professional | $508.58 | $677.48 | $772.40 | |
United
| Facility | $8,651.00 | $8,651.00 | $8,651.00 |