| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $332.51 | $332.51 | $2,290.00 | |
Medica
| Facility | $441.63 | $561.94 | $1,019.70 | |
Midlands
| Facility | $608.00 | $956.78 | $3,079.87 | |
Sanford Health Plan
| Professional | $454.09 | $609.84 | $717.41 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |