| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $464.05 | $464.05 | $3,511.00 | |
Medica
| Facility | $605.69 | $784.24 | $1,268.54 | |
Midlands
| Facility | $801.00 | $1,317.73 | $4,114.05 | |
Sanford Health Plan
| Professional | $593.03 | $827.99 | $989.76 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |