| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $453.51 | $453.51 | $3,511.00 | |
Medica
| Facility | $586.61 | $766.43 | $1,250.01 | |
Midlands
| Facility | $789.00 | $1,238.58 | $3,079.87 | |
Sanford Health Plan
| Professional | $587.72 | $791.31 | $930.89 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |