| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $212.98 | $212.98 | $3,511.00 | |
Medica
| Facility | $224.08 | $421.86 | $695.52 | |
Midlands
| Facility | $363.40 | $605.85 | $5,595.56 | |
Sanford Health Plan
| Professional | $294.08 | $389.80 | $444.42 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |