| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $286.66 | $286.66 | $6,579.76 | |
Medica
| Facility | $381.58 | $484.46 | $789.24 | |
Midlands
| Facility | $506.00 | $818.94 | $2,929.96 | |
Sanford Health Plan
| Professional | $369.52 | $515.91 | $612.61 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |