| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $345.54 | $345.54 | $2,290.00 | |
Medica
| Facility | $324.57 | $537.57 | $944.72 | |
Midlands
| Facility | $698.45 | $803.06 | $2,383.04 | |
Sanford Health Plan
| Professional | $424.25 | $561.16 | $639.78 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |