| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $212.11 | $873.94 | $873.94 | |
Medica
| Facility | $297.88 | $1,073.53 | $2,459.41 | |
Midlands
| Facility | $552.83 | $1,759.36 | $2,429.96 | |
Sanford Health Plan
| Professional | $366.78 | $1,188.86 | $1,594.61 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |