| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $402.75 | $402.75 | $3,073.00 | |
Medica
| Facility | $413.17 | $691.10 | $1,210.68 | |
Midlands
| Facility | $662.05 | $1,077.73 | $3,276.96 | |
Sanford Health Plan
| Professional | $490.40 | $725.25 | $851.32 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |