| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $415.23 | $415.23 | $3,511.00 | |
Medica
| Facility | $534.86 | $701.74 | $1,202.47 | |
Midlands
| Facility | $866.00 | $1,159.63 | $4,555.17 | |
Sanford Health Plan
| Professional | $558.76 | $747.30 | $854.55 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |