| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.24 | $288.24 | $3,511.00 | |
Medica
| Facility | $371.64 | $487.13 | $831.67 | |
Midlands
| Facility | $616.00 | $802.40 | $3,079.87 | |
Sanford Health Plan
| Professional | $386.20 | $516.96 | $593.21 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |