| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.61 | $512.61 | $3,073.00 | |
Medica
| Facility | $540.28 | $866.31 | $1,555.58 | |
Midlands
| Facility | $842.22 | $1,390.66 | $6,855.77 | |
Sanford Health Plan
| Professional | $681.14 | $938.76 | $1,070.61 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |