| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $383.40 | $383.40 | $3,511.00 | |
Medica
| Facility | $496.33 | $647.95 | $1,036.07 | |
Midlands
| Facility | $658.00 | $1,068.83 | $2,929.96 | |
Sanford Health Plan
| Professional | $483.20 | $674.66 | $815.74 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |