| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $419.41 | $419.41 | $3,073.00 | |
Medica
| Facility | $434.64 | $636.88 | $1,252.73 | |
Midlands
| Facility | $979.61 | $1,191.69 | $3,285.23 | |
Sanford Health Plan
| Professional | $555.22 | $763.72 | $870.73 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |