| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $318.73 | $318.73 | $3,511.00 | |
Medica
| Facility | $407.24 | $538.65 | $836.32 | |
Midlands
| Facility | $539.00 | $866.97 | $4,114.05 | |
Sanford Health Plan
| Professional | $391.48 | $546.58 | $677.95 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |