| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $320.05 | $320.05 | $3,855.00 | |
Medica
| Facility | $425.54 | $540.88 | $982.65 | |
Midlands
| Facility | $606.00 | $924.47 | $3,079.87 | |
Sanford Health Plan
| Professional | $439.82 | $587.29 | $690.89 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |