| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $615.51 | $615.51 | $3,511.00 | |
Medica
| Facility | $641.61 | $996.78 | $1,834.36 | |
Midlands
| Facility | $993.79 | $1,609.52 | $3,285.23 | |
Sanford Health Plan
| Professional | $756.99 | $1,094.26 | $1,285.39 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |