| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $388.26 | $388.26 | $3,073.00 | |
Medica
| Facility | $501.74 | $656.16 | $1,063.45 | |
Midlands
| Facility | $752.00 | $1,056.42 | $4,555.17 | |
Sanford Health Plan
| Professional | $501.23 | $676.93 | $796.33 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |