| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $425.57 | $3,010.30 | $3,822.84 | |
Medica
| Facility | $444.30 | $721.20 | $1,375.26 | |
Midlands
| Facility | $729.28 | $1,208.98 | $8,354.16 | |
Sanford Health Plan
| Professional | $586.42 | $772.80 | $881.08 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |