| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.47 | $407.47 | $3,511.00 | |
Medica
| Facility | $433.44 | $732.06 | $1,292.11 | |
Midlands
| Facility | $735.38 | $1,241.54 | $11,505.60 | |
Sanford Health Plan
| Professional | $592.60 | $766.29 | $857.14 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |