| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $230.61 | $230.61 | $3,511.00 | |
Medica
| Facility | $307.76 | $389.73 | $635.17 | |
Midlands
| Facility | $416.00 | $655.52 | $2,929.96 | |
Sanford Health Plan
| Professional | $295.44 | $412.49 | $495.53 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |