| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $423.90 | $423.90 | $2,290.00 | |
Medica
| Facility | $503.06 | $657.80 | $1,304.93 | |
Midlands
| Facility | $751.00 | $1,150.03 | $4,114.05 | |
Sanford Health Plan
| Professional | $556.41 | $764.35 | $902.43 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |