| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $305.37 | $305.37 | $2,290.00 | |
Medica
| Facility | $374.65 | $503.15 | $789.56 | |
Midlands
| Facility | $496.00 | $823.54 | $2,929.96 | |
Sanford Health Plan
| Professional | $371.23 | $518.32 | $649.49 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |