| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $286.02 | $286.02 | $2,290.00 | |
Medica
| Facility | $350.17 | $475.65 | $781.01 | |
Midlands
| Facility | $498.00 | $774.58 | $4,555.17 | |
Sanford Health Plan
| Professional | $368.03 | $497.29 | $586.09 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |