| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $450.48 | $450.48 | $3,511.00 | |
Medica
| Facility | $581.04 | $761.31 | $1,279.20 | |
Midlands
| Facility | $951.00 | $1,245.80 | $3,079.87 | |
Sanford Health Plan
| Professional | $598.10 | $796.03 | $925.07 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |