| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $360.45 | $360.45 | $3,073.00 | |
Medica
| Facility | $473.07 | $609.16 | $964.51 | |
Midlands
| Facility | $620.00 | $1,001.53 | $2,929.96 | |
Sanford Health Plan
| Professional | $449.18 | $627.16 | $767.22 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |