| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.84 | $380.84 | $3,511.00 | |
Medica
| Facility | $506.22 | $643.62 | $1,170.08 | |
Midlands
| Facility | $706.00 | $1,098.58 | $3,079.87 | |
Sanford Health Plan
| Professional | $524.15 | $697.82 | $820.92 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |