| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $388.17 | $388.17 | $3,725.84 | |
Medica
| Facility | $500.14 | $656.01 | $1,121.70 | |
Midlands
| Facility | $686.00 | $1,084.23 | $4,555.17 | |
Sanford Health Plan
| Professional | $514.87 | $696.24 | $800.22 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |