| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $238.58 | $1,153.73 | $4,338.00 | |
Medica
| Facility | $304.64 | $1,050.44 | $2,816.81 | |
Midlands
| Facility | $618.90 | $2,364.62 | $3,639.50 | |
Sanford Health Plan
| Professional | $360.28 | $1,158.59 | $2,101.78 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |