| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.72 | $3,822.84 | $7,461.33 | |
Medica
| Facility | $414.51 | $754.09 | $1,140.30 | |
Midlands
| Facility | $573.63 | $950.50 | $4,408.14 | |
Sanford Health Plan
| Professional | $461.02 | $632.63 | $694.77 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |