| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $458.38 | $458.38 | $3,511.00 | |
Medica
| Facility | $610.30 | $774.66 | $1,257.13 | |
Midlands
| Facility | $834.00 | $1,302.34 | $2,929.96 | |
Sanford Health Plan
| Professional | $585.28 | $832.55 | $979.41 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |