| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.37 | $398.37 | $3,073.00 | |
Medica
| Facility | $415.16 | $787.16 | $1,279.77 | |
Midlands
| Facility | $682.70 | $1,131.80 | $6,355.01 | |
Sanford Health Plan
| Professional | $548.80 | $722.30 | $823.50 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |