| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.09 | $8,478.43 | $13,241.29 | |
Medica
| Facility | $133.99 | $301.64 | $717.88 | |
Midlands
| Facility | $263.99 | $377.00 | $3,285.23 | |
Sanford Health Plan
| Professional | $170.25 | $228.36 | $459.52 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |