| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $441.56 | $441.56 | $2,290.00 | |
Medica
| Facility | $571.44 | $746.24 | $1,243.20 | |
Midlands
| Facility | $812.00 | $1,224.25 | $3,079.87 | |
Sanford Health Plan
| Professional | $584.27 | $779.79 | $907.60 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |