| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $363.44 | $363.44 | $3,511.00 | |
Medica
| Facility | $394.23 | $607.69 | $1,065.47 | |
Midlands
| Facility | $604.36 | $950.23 | $1,232.64 | |
Sanford Health Plan
| Professional | $507.29 | $679.18 | $774.34 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |