| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $451.19 | $6,961.41 | $11,139.02 | |
Medica
| Facility | $479.58 | $759.56 | $1,322.51 | |
Midlands
| Facility | $715.51 | $1,180.45 | $3,285.23 | |
Sanford Health Plan
| Professional | $588.24 | $795.45 | $949.65 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |