| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $247.23 | $247.23 | $4,338.00 | |
Medica
| Facility | $234.05 | $346.50 | $645.73 | |
Midlands
| Facility | $214.00 | $532.50 | $741.47 | |
Sanford Health Plan
| Professional | $243.43 | $388.44 | $466.41 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |