| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $447.54 | $447.54 | $2,290.00 | |
Medica
| Facility | $593.78 | $756.34 | $1,375.74 | |
Midlands
| Facility | $821.00 | $1,292.47 | $3,079.87 | |
Sanford Health Plan
| Professional | $615.41 | $821.55 | $966.47 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |