| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $485.19 | $485.19 | $3,073.00 | |
Medica
| Facility | $645.12 | $819.97 | $1,497.15 | |
Midlands
| Facility | $922.00 | $1,415.41 | $3,079.87 | |
Sanford Health Plan
| Professional | $675.08 | $901.05 | $1,052.51 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |