| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $494.43 | $4,775.13 | $4,775.13 | |
Medica
| Facility | $492.40 | $835.59 | $1,466.89 | |
Midlands
| Facility | $796.17 | $1,284.70 | $3,276.96 | |
Sanford Health Plan
| Professional | $632.67 | $873.20 | $1,014.99 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |