| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $202.80 | $1,029.75 | $4,338.00 | |
Medica
| Facility | $258.79 | $939.05 | $2,714.00 | |
Midlands
| Facility | $525.35 | $1,759.36 | $2,811.20 | |
Sanford Health Plan
| Professional | $351.39 | $1,400.60 | $1,883.33 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |