| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $313.50 | $313.50 | $3,511.00 | |
Medica
| Facility | $404.39 | $529.82 | $905.66 | |
Midlands
| Facility | $591.00 | $871.51 | $3,079.87 | |
Sanford Health Plan
| Professional | $422.09 | $563.37 | $646.90 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |