| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $261.49 | $261.49 | $3,073.00 | |
Medica
| Facility | $336.49 | $441.92 | $754.49 | |
Midlands
| Facility | $495.00 | $728.80 | $3,079.87 | |
Sanford Health Plan
| Professional | $349.87 | $468.80 | $536.92 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |