| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $279.29 | $279.29 | $3,511.00 | |
Medica
| Facility | $302.08 | $467.64 | $815.72 | |
Midlands
| Facility | $463.14 | $729.53 | $943.77 | |
Sanford Health Plan
| Professional | $387.49 | $520.87 | $593.85 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |