| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $311.69 | $311.69 | $3,073.00 | |
Medica
| Facility | $325.17 | $563.64 | $951.88 | |
Midlands
| Facility | $533.42 | $848.39 | $4,408.14 | |
Sanford Health Plan
| Professional | $428.94 | $565.70 | $644.96 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |