| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $462.97 | $462.97 | $3,073.00 | |
Medica
| Facility | $469.81 | $760.62 | $1,217.58 | |
Midlands
| Facility | $723.00 | $1,211.84 | $2,691.59 | |
Sanford Health Plan
| Professional | $508.24 | $775.08 | $927.65 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |