| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $360.71 | $360.71 | $3,073.00 | |
Medica
| Facility | $376.37 | $609.60 | $1,101.73 | |
Midlands
| Facility | $617.46 | $957.94 | $10,100.51 | |
Sanford Health Plan
| Professional | $464.70 | $654.78 | $746.52 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |