| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $422.13 | $422.13 | $3,073.00 | |
Medica
| Facility | $538.71 | $713.40 | $1,173.91 | |
Midlands
| Facility | $736.00 | $1,155.13 | $3,079.87 | |
Sanford Health Plan
| Professional | $551.83 | $735.77 | $865.55 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |