| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $235.69 | $235.69 | $3,511.00 | |
Medica
| Facility | $221.98 | $367.37 | $671.05 | |
Midlands
| Facility | $487.21 | $549.57 | $703.90 | |
Sanford Health Plan
| Professional | $292.33 | $383.56 | $437.30 | |
United
| Facility | $1,643.00 | $1,643.00 | $6,295.00 |