| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $443.19 | $3,047.60 | $3,047.60 | |
Medica
| Facility | $462.20 | $748.99 | $1,354.45 | |
Midlands
| Facility | $759.46 | $1,258.35 | $8,320.71 | |
Sanford Health Plan
| Professional | $610.64 | $804.01 | $916.66 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |