| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $468.19 | $468.19 | $3,073.00 | |
Medica
| Facility | $552.74 | $791.24 | $1,231.09 | |
Midlands
| Facility | $756.00 | $1,230.51 | $2,691.59 | |
Sanford Health Plan
| Professional | $527.41 | $783.61 | $921.83 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |