| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $565.08 | $565.08 | $3,073.00 | |
Medica
| Facility | $670.00 | $927.22 | $1,483.52 | |
Midlands
| Facility | $879.00 | $1,490.81 | $2,691.59 | |
Sanford Health Plan
| Professional | $617.00 | $944.38 | $1,119.78 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |