| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.37 | $2,290.00 | $2,316.84 | |
Medica
| Facility | $192.52 | $511.56 | $4,006.82 | |
Midlands
| Facility | $351.25 | $1,525.43 | $6,569.28 | |
Sanford Health Plan
| Professional | $229.09 | $3,014.56 | $4,166.04 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |