| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $265.22 | $265.22 | $3,511.00 | |
Medica
| Facility | $341.53 | $448.22 | $763.06 | |
Midlands
| Facility | $571.00 | $737.78 | $3,079.87 | |
Sanford Health Plan
| Professional | $355.06 | $474.02 | $544.69 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |