| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $249.68 | $249.68 | $3,073.00 | |
Medica
| Facility | $321.01 | $421.96 | $701.79 | |
Midlands
| Facility | $464.00 | $688.42 | $3,079.87 | |
Sanford Health Plan
| Professional | $327.82 | $437.47 | $511.05 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |